Organization Active NPI

Obesity Treatment Centers of Morris County LLC

  • Medical Specialty Clinic/Center
  • Livingston, NJ
National Provider Identifier
1013216183
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
25MA061479 Issued in NJ
Legal business name
OBESITY TREATMENT CENTERS OF MORRIS COUNTY LLC
Practice address
200 S Orange Ave
Suite 203
Livingston, NJ 07039-5817
Phone
(973) 322-7977
Fax
(973) 322-7979
NPI assigned
Mar 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Authorized official

Name
Michael J Nusbaum, M.D.
Title
President/ Owner
Phone
(973) 322-7977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 25MA061479 NJ Primary

Addresses

Primary practice location

200 S Orange Ave
Suite 203
Livingston, NJ 07039-5817

Mailing address

200 S Orange Ave
Suite 203
Livingston, NJ 07039-5817
Phone (973) 322-7977

National Provider Directory

National Provider Directory

Locations

200 S Orange Ave
Ste 203
Livingston, NJ 07039
Phone (973) 322-0220

NPI Registry JSON

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1013216183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S ORANGE AVE",
            "address_2": "SUITE 203",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395817",
            "telephone_number": "973-322-7977",
            "fax_number": "973-322-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S ORANGE AVE",
            "address_2": "SUITE 203",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395817",
            "telephone_number": "973-322-7977",
            "fax_number": "973-322-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBESITY TREATMENT CENTERS OF MORRIS COUNTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "NUSBAUM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "973-322-7977",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "25MA061479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.