Organization Active NPI

Pulmonary Associates of Northern New Jersey P a

  • Pulmonary Disease Physician
  • Englewood, NJ
National Provider Identifier
1083761506
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
25MA03841900 Issued in NJ
Legal business name
PULMONARY ASSOCIATES OF NORTHERN NEW JERSEY P A
Practice address
200 Grand Ave
Suite 102
Englewood, NJ 07631-4363
Phone
(201) 871-3636
Fax
(201) 871-2286
NPI assigned
Jan 5, 2007
Last updated
Sep 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2011

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

Authorized official

Name
Dr. Gregory G Magee, MD
Title
President
Phone
(201) 871-3636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 25MA03841900 NJ Primary

Addresses

Primary practice location

200 Grand Ave
Suite 102
Englewood, NJ 07631-4363

Mailing address

200 Grand Ave
Suite 102
Englewood, NJ 07631-4363
Phone (201) 871-3636

Other identifiers 1

IdentifierTypeStateIssuer
3174107MedicaidNJ

National Provider Directory

National Provider Directory

Locations

200 Grand Ave
Ste 102
Englewood, NJ 07631
Phone (201) 481-7160

Practitioners & affiliated clinicians

Practitioners 3

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": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314835200000",
    "number": "1083761506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GRAND AVE",
            "address_2": "SUITE 102",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314363",
            "telephone_number": "201-871-3636",
            "fax_number": "201-871-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GRAND AVE",
            "address_2": "SUITE 102",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314363",
            "telephone_number": "201-871-3636",
            "fax_number": "201-871-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY ASSOCIATES OF NORTHERN NEW JERSEY P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2011-09-01",
        "status": "A",
        "authorized_official_last_name": "MAGEE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-871-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA03841900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3174107",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; 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.