Ironbound Family Medicine LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MA060257 Issued in NJ

Legal business name

IRONBOUND FAMILY MEDICINE LLC

Practice address

154 Van Buren St
1St Floor
Newark, NJ 07105-2984

Phone

(973) 344-6727

Fax

(973) 491-5033

NPI assigned

Apr 26, 2012

Organization subpart

No

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

Authorized official

Name

Arlene Hallegado

Title

Medical Doctor

Phone

(973) 344-6727

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337299200000",
    "number": "1033477104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 VAN BUREN ST",
            "address_2": "1ST FLOOR",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071052984",
            "telephone_number": "973-344-6727",
            "fax_number": "973-491-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 VAN BUREN ST",
            "address_2": "1ST FLOOR",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071052984",
            "telephone_number": "973-344-6727",
            "fax_number": "973-491-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRONBOUND FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-05-18",
        "status": "A",
        "authorized_official_last_name": "HALLEGADO",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "973-344-6727"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA060257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ironbound Medical Associates LLC
• Ironbound Medical Services, LLC
• Ironbound MRI, LLC
• Ironbound Newark Medical PC
• Ironbound OBGYN. LLC

• Family Medicine Physician in Newark, NJ
• Providers in Newark, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.