NPIMap

Organization Active NPI

Medical Associates of Englewood, PC

  • Emergency Medicine Physician
  • Cresskill, NJ
National Provider Identifier
1053949412
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
MEDICAL ASSOCIATES OF ENGLEWOOD, PC
Practice address
46 Union Ave
Cresskill, NJ 07626-2125
Phone
(201) 205-2172
Fax
(201) 339-7697
NPI assigned
Mar 31, 2020
Organization subpart
Yes
Parent organization
ENGLEWOOD HEALTH PHYSICIAN NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Authorized official

Name
Howard Jay Lasner
Title
Director of Revenue Cycle
Phone
(201) 608-2136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

46 Union Ave
Cresskill, NJ 07626-2125

Mailing address

375 Engle St FL 2
Englewood, NJ 07631-1823
Phone (201) 894-3012

Other names 1

  • Englewood Health Urgent Care Other name

National Provider Directory

National Provider Directory
Tax ID family
Medical Assoc of Englewood6 organizations share this tax ID, including this one
Part of
Medical Assoc of Englewood

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

375 Engle St
#2
Englewood, NJ 07631
Phone (201) 871-0684

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585612800000",
    "number": "1053949412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 ENGLE ST FL 2",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311823",
            "telephone_number": "201-894-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 UNION AVE",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076262125",
            "telephone_number": "201-205-2172",
            "fax_number": "201-339-7697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ASSOCIATES OF ENGLEWOOD, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENGLEWOOD HEALTH PHYSICIAN NETWORK",
        "enumeration_date": "2020-03-31",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A",
        "authorized_official_last_name": "LASNER",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "201-608-2136"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Englewood Health Urgent Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cresskill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.