Medical Centers of Northern New Jersey, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MEDICAL CENTERS OF NORTHERN NEW JERSEY, LLC

Practice address

195 S Maple Ave
Ridgewood, NJ 07450-5142

Phone

(973) 953-8105

Fax

(770) 643-2011

NPI assigned

Jan 29, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Dana Piccirillo, DC

Title

Ceo

Phone

(678) 849-3782

Specialties & licenses 1

Addresses

Tax ID family

Medical Centers of Northern New Jersey LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Medical Centers of Northern New Jersey

  • Chiropractor
  • Ridgewood, NJ
  • NPI 1942506076
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Medical Centers of Northern New Jersey

  • Chiropractor
  • Ridgewood, NJ
  • NPI 1942506076
  NPPES parent name

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

{
    "created_epoch": "1296259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296259200000",
    "number": "1083910616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 S MAPLE AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074505142",
            "telephone_number": "973-953-8105",
            "fax_number": "770-643-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 S MAPLE AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074505142",
            "telephone_number": "973-953-8105",
            "fax_number": "770-643-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTERS OF NORTHERN NEW JERSEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-29",
        "last_updated": "2011-01-29",
        "status": "A",
        "authorized_official_last_name": "PICCIRILLO",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-849-3782",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen McHugh Akbar, LCSW
• Kelly A McNally, D.D.S.
• Emily McQueen, LCSW
• Medconsults LLC
• Medical Centers of Northern New Jersey
• Joyce Mednick, M.D.
• Medvance LLC
• Paul Mehaffey
• Shireen B Meistrich, LSW
• Bobbie Magee Mele

• General Practice Physician in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• General Practice Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.