PA Clinical Center Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

PA CLINICAL CENTER INC

Practice address

75 Bloomfield Ave Ste 206
Denville, NJ 07834-2736

Phone

(973) 960-4430

NPI assigned

Sep 16, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Yoandi Marrero

Title

President

Phone

(973) 960-4430

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444348800000",
    "number": "1043689383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 BLOOMFIELD AVENUE SUITE 206",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "07834",
            "telephone_number": "973-960-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 BLOOMFIELD AVE STE 206",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342736",
            "telephone_number": "973-960-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PA CLINICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-10-09",
        "status": "A",
        "authorized_official_last_name": "MARRERO",
        "authorized_official_first_name": "YOANDI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-960-4430",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Orest, DC
• Gina Orsini, BCBA
• Stephanie Lynn Scham Ortega, MD
• Orthopaedic Surgery Center of Northwest Jersey, LLC
• Luke Osifchin, DPT
• Jason Pallimulla
• Joanna Palumbo, PT, DPT
• Maryann S Panei, M.D.
• Jennifer L Panetta, MA, LAC
• Dhruv Uday Parekh

• Health Service Clinic/Center in Denville, NJ
• Providers in Denville, NJ by specialty
• Health Service Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; 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.