Individual provider Active NPI

Ginia Pierre, M.D.

  • Family Medicine Physician
  • Teaneck, NJ
National Provider Identifier
1013953686
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA06533300 Issued in NJ
Practice address
780 Cedar LN
Valley Health Medical Group
Teaneck, NJ 07666-1706
Phone
(201) 836-7664
Fax
(201) 836-5710
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA06533300 NJ Primary

Addresses

Primary practice location

780 Cedar LN
Valley Health Medical Group
Teaneck, NJ 07666-1706

Mailing address

48 Bristol Rd
Piscataway, NJ 08854-3692
Phone (732) 271-8603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151208002306 SC Order and Referring Only - Family PracticePractitioner - Family Practice 4981767555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA06533300NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Medical Group, NJ-PC Family Medicine Current Accepting new patients
Renal Medical Associates LLC Past Accepting new patients

Locations

135 N Washington Ave
Bergenfield, NJ 07621
Phone (201) 387-7055

15 Essex Rd
Fl 5
Paramus, NJ 07652

15 Essex Rd
Ste 504
Paramus, NJ 07652

780 Cedar Ln
Teaneck, NJ 07666
Phone (201) 836-5333

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/53393c7a-0b87-4dcb-bbca-68e82f45f8dc/
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013953686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 BRISTOL RD",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088543692",
            "telephone_number": "732-271-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 CEDAR LN",
            "address_2": "VALLEY HEALTH MEDICAL GROUP",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661706",
            "telephone_number": "201-836-7664",
            "fax_number": "201-836-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRE",
        "first_name": "GINIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA06533300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.