Organization Active NPI

Clinical Consulting Group Inc

Doing business as Clinical Consulting Group

  • Family Medicine Physician
  • East Orange, NJ
National Provider Identifier
1063160018
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CLINICAL CONSULTING GROUP INC
Doing business as
Clinical Consulting Group
Practice address
405 Central Ave
East Orange, NJ 07018-2553
Phone
(973) 417-6871
NPI assigned
Mar 17, 2022
Last updated
Mar 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Authorized official

Name
Ashraf Latif, PHARMDNPI 1871644724
Title
Authorized Official
Phone
(973) 417-6871

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

405 Central Ave
East Orange, NJ 07018-2553

Mailing address

529-531 Clifton Ave
Newark, NJ 07104
Phone (973) 417-6871

Other names 1

  • Clinical Consulting Group Doing business as

National Provider Directory

National Provider Directory

Locations

405 Central Ave
East Orange, NJ 07018
Phone (973) 417-6871

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1063160018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529-531 CLIFTON AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07104",
            "telephone_number": "973-417-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 CENTRAL AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182553",
            "telephone_number": "973-417-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL CONSULTING GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "LATIF",
        "authorized_official_first_name": "ASHRAF",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "973-417-6871",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinical Consulting Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.