J Medical Practice LLC

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

J MEDICAL PRACTICE LLC

Practice address

668 N Forest Dr
Teaneck, NJ 07666-2047

Phone

(201) 564-4890

NPI assigned

Dec 23, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jonathan Wiesen, MD

Title

Owner

Phone

(201) 564-4890

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1003455072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 N FOREST DR",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662047",
            "telephone_number": "551-486-6214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 N FOREST DR",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662047",
            "telephone_number": "201-564-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J MEDICAL PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-23",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "WIESEN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-564-4890",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Isaac, NP
• Ebrahim Issa
• Elana Horowitz Isser, LCSW
• Fisnik Isufi, LAT, ATC, MBA
• J & J Medical Supply Inc.
• J.J. Fernandez, LLC
• Jack Levi DDS PA
• Deborah L Jackson
• Justin Jacob, PT
• Esther Jacobowitz, M.D.

• Infusion Therapy Clinic/Center in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Infusion Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.