Active NPI
Pierre Medical Group LLC
- Family Medicine Physician
- West Orange, NJ
National Provider Identifier
1104099779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MA06533300
- Legal business name
- PIERRE MEDICAL GROUP LLC
- Practice address
- 745 Northfield Ave
Suite 1 Lower West Level
West Orange, NJ 07052-1144 - Phone
- (973) 731-3800
- Fax
- (973) 731-3881
- NPI assigned
- Apr 3, 2008
- 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
- Miss Marie Pierre
- Title
- Office Manager
- Phone
- (973) 731-3800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MA06533300 | NJ | Primary |
Addresses
Primary practice location
745 Northfield Ave
Suite 1 Lower West Level
West Orange, NJ 07052-1144
Mailing address
PO Box 344
Center Valley, PA 18034-0344
Phone (973) 731-3800
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207180800000",
"number": "1104099779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 344",
"city": "CENTER VALLEY",
"state": "PA",
"postal_code": "180340344",
"telephone_number": "973-731-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "745 NORTHFIELD AVE",
"address_2": "SUITE 1 LOWER WEST LEVEL",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070521144",
"telephone_number": "973-731-3800",
"fax_number": "973-731-3881"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIERRE MEDICAL GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-03",
"last_updated": "2008-04-03",
"status": "A",
"authorized_official_last_name": "PIERRE",
"authorized_official_first_name": "MARIE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "973-731-3800",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MA06533300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.