Community Health Group LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

COMMUNITY HEALTH GROUP LLC

Practice address

540 Straight St Ste 2C
Paterson, NJ 07503-3240

Phone

(862) 657-5500

Fax

(862) 657-5501

NPI assigned

Aug 11, 2021

Last updated

Aug 11, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Luis Freddy Luna, MDNPI 1558453225

Title

Medical Director

Phone

(973) 782-5550

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Luis F Luna, MD

  • Internal Medicine Physician
  • Paterson, NJ
  • NPI 1558453225
  NPD Authorized official

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1003581042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 STRAIGHT ST STE 2C",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075033240",
            "telephone_number": "862-657-5500",
            "fax_number": "862-657-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 STRAIGHT ST STE 2C",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075033240",
            "telephone_number": "862-657-5500",
            "fax_number": "862-657-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "LUNA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "FREDDY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "973-782-5550",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNAL MEDICINE",
            "identifier": "1780957530",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Paterson, NJ
• Providers in Paterson, NJ by specialty
• General Practice Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.