NPIMap

Organization Active NPI

Montefiore Medical Center

  • General Acute Care Hospital
  • Fair Lawn, NJ
National Provider Identifier
1013275551
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
I052610 Issued in NY
Legal business name
MONTEFIORE MEDICAL CENTER
Practice address
2-30 29TH St
Fair Lawn, NJ 07410-3948
Phone
(845) 401-3436
NPI assigned
May 2, 2012
Last updated
May 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Authorized official

Name
Svetlana Simkhovich, PHARMD
Title
Clinical Pharmacy Manager
Phone
(914) 709-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X I052610 NY Primary

Addresses

Primary practice location

2-30 29TH St
Fair Lawn, NJ 07410-3948

Mailing address

2-30 29TH St
Fair Lawn, NJ 07410-3948
Phone (845) 401-3436

Other names 1

  • CMO Other name

National Provider Directory

National Provider Directory
Tax ID family
MMC Rehab Medicine520 organizations share this tax ID, including this one

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1013275551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2-30 29TH ST",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103948",
            "telephone_number": "845-401-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2-30 29TH ST",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103948",
            "telephone_number": "845-401-3436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEFIORE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "SIMKHOVICH",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "CLINICAL PHARMACY MANAGER",
        "authorized_official_telephone_number": "914-709-3800",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "I052610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.