Active NPI
Nova New Jersey Physician Group LLC
- Primary Care Clinic/Center
- Elizabeth, NJ
National Provider Identifier
1083462303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- Jermaine A Nnaeto, PMHNP-BC
- Joseph Norowitz, O.D.
- North Broad Pharmacies LLC
- North Jersey Dental
- North Jersey Diagnostic & Pain PA
- Aleksey Novakhov, DDS
- NPC Pharma LLC (Elizabeth Pharmacy LTC)
- NPC Pharma LLC (Elizabeth Pharmacy)
- Nu City Corp. T/a Neighborhood Education and Training Center
- Onyeka Onyinyechi Nwachukwu, MD
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.