Organization Active NPI

Nova New Jersey Physician Group LLC

  • Primary Care Clinic/Center
  • Elizabeth, NJ
National Provider Identifier
1083462303
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
NOVA NEW JERSEY PHYSICIAN GROUP LLC
Practice address
1000 S Elmora Ave
Elizabeth, NJ 07202-3100
Phone
(908) 737-5703
Fax
(908) 325-0075
NPI assigned
May 10, 2024
Last updated
May 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Authorized official

Name
Dr. Terrence Morton Jr., MD
Title
Sr. Medical Director
Phone
(312) 733-9730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1000 S Elmora Ave
Elizabeth, NJ 07202-3100

Mailing address

30 W Monroe St Ste 1200
Chicago, IL 60603-2420
Phone (773) 352-1515

National Provider Directory

National Provider Directory

Locations

1000 S Elmora Ave
Elizabeth, NJ 07202
Phone (908) 629-1265

NPI Registry JSON

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1083462303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W MONROE ST STE 1200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606032420",
            "telephone_number": "773-352-1515",
            "fax_number": "312-929-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S ELMORA AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023100",
            "telephone_number": "908-737-5703",
            "fax_number": "908-325-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA NEW JERSEY PHYSICIAN GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "MORTON",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_title_or_position": "SR. MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "312-733-9730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.