NPIMap

Organization Active NPI

Passaic County Integrated Healthcare

  • Diagnostic Radiology Physician
  • Jersey City, NJ
National Provider Identifier
1104028299
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA02636900 Issued in NJ
Legal business name
PASSAIC COUNTY INTEGRATED HEALTHCARE
Practice address
550 Newark Ave
Suite 201
Jersey City, NJ 07306-1326
Phone
(201) 533-8000
Fax
(201) 533-1734
NPI assigned
Jun 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jose R. Sanchez-Pena, M.D.
Title
Owner
Phone
(201) 533-8000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X 25MA02636900 NJ Primary
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X 25MA07405000

Addresses

Primary practice location

550 Newark Ave
Suite 201
Jersey City, NJ 07306-1326

Mailing address

550 Newark Ave
Suite 201
Jersey City, NJ 07306-1326
Phone (201) 533-8000

National Provider Directory

National Provider Directory
Tax ID family
Passaic County Integrated Healthcare7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104028299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 NEWARK AVE",
            "address_2": "SUITE 201",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061326",
            "telephone_number": "201-533-8000",
            "fax_number": "201-533-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 NEWARK AVE",
            "address_2": "SUITE 201",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061326",
            "telephone_number": "201-533-8000",
            "fax_number": "201-533-1734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSAIC COUNTY INTEGRATED HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ-PENA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-533-8000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA02636900",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": "25MA07405000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.