NPIMap

Organization Active NPI

Apogee Medical Group of New Jersey PA

  • Internal Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1104873629
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
APOGEE MEDICAL GROUP OF NEW JERSEY PA
Practice address
15059 N Scottsdale Road
Suite 600
Scottsdale, AZ 85254-2685
Phone
(602) 778-3600
Fax
(602) 778-3695
NPI assigned
May 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Authorized official

Name
Karen J. Harwell
Title
Cfo
Phone
(602) 778-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

15059 N Scottsdale Road
Suite 600
Scottsdale, AZ 85254-2685

Mailing address

PO Box 708640
Sandy, UT 84070-8640
Phone (801) 352-9500

Other identifiers 2

IdentifierTypeStateIssuer
DC5864OtherNMRR MEDICARE
0059439MedicaidNJ

National Provider Directory

National Provider Directory

Locations

1 Clara Maass Dr
Ste 204
Belleville, NJ 07109
Phone (973) 450-2432

50 Newark Ave
Ste 309
Belleville, NJ 07109

Practitioners & affiliated clinicians

Practitioners 77

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 77

NPI Registry JSON

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

{
    "created_epoch": "1148860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1104873629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 708640",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840708640",
            "telephone_number": "801-352-9500",
            "fax_number": "801-352-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15059 N SCOTTSDALE ROAD",
            "address_2": "SUITE 600",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542685",
            "telephone_number": "602-778-3600",
            "fax_number": "602-778-3695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOGEE MEDICAL GROUP OF NEW JERSEY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-29",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "HARWELL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "602-778-3600"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DC5864",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0059439",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.