Medical Associates of Mt Olive Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA 059128 Issued in NJ

Legal business name

MEDICAL ASSOCIATES OF MT OLIVE INC

Practice address

230 US Highway 206
Suite 207
Flanders, NJ 07836-9189

Phone

(973) 584-9669

Fax

(973) 584-8729

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rajiv J Pathak, M.D.

Title

President

Phone

(973) 584-9669

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1053534230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 US HIGHWAY 206",
            "address_2": "UNIT 207",
            "city": "FLANDERS",
            "state": "NJ",
            "postal_code": "078369189",
            "telephone_number": "973-584-9669",
            "fax_number": "973-584-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 US HIGHWAY 206",
            "address_2": "SUITE 207",
            "city": "FLANDERS",
            "state": "NJ",
            "postal_code": "078369189",
            "telephone_number": "973-584-9669",
            "fax_number": "973-584-8729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ASSOCIATES OF MT OLIVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "PATHAK",
        "authorized_official_first_name": "RAJIV",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-584-9669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA 059128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Davi Martins
• Melissa Rose Martirano, DMD
• Mazen Itani MD PC
• Hope A McDonald, MSW, LCSW
• Elizabeth McDougal, RN
• Katelyn Meier, LCSW
• Alex M Mercado, M.D.
• Meyer Psychotherapy, LLC
• Arif Mian
• Anthony Guy Miccio, M.D.

• Internal Medicine Physician in Flanders, NJ
• Providers in Flanders, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; 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.