North Jersey Diabetes & Endocrinology, P.a.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

25MA07861800 Issued in NJ

Legal business name

NORTH JERSEY DIABETES & ENDOCRINOLOGY, P.A.

Practice address

24-07 Broadway
Fair Lawn, NJ 07410-3053

Phone

(201) 796-4600

Fax

(201) 796-4666

NPI assigned

Oct 31, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Merab Joseph, M.D.NPI 1053421032

Title

President

Phone

(201) 796-4600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AHEDBA

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Merab Joseph, M.D.

  • Specialist
  • Fair Lawn, NJ
  • NPI 1053421032
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1013160217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24-07 BROADWAY",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103053",
            "telephone_number": "201-796-4600",
            "fax_number": "201-796-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24-07 BROADWAY",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103053",
            "telephone_number": "201-796-4600",
            "fax_number": "201-796-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH JERSEY DIABETES & ENDOCRINOLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-31",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "MERAB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-796-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NJ",
            "license": "25MA07861800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• North Jersey Gi Associates,PA
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• North Jersey Pediatrics
• Nosheen Khawaja
• Martina Maria Nunez-Rojas, SLP

• Endocrinology, Diabetes & Metabolism Physician in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Endocrinology, Diabetes & Metabolism Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.