Organization Active NPI

Pierre Medical Group LLC

  • Family Medicine Physician
  • West Orange, NJ
National Provider Identifier
1104099779
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA06533300 Issued in NJ
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

Updated by the provider on Apr 3, 2008

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.