Paul T Ittoop, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

25MAO3862600 Issued in NJ

Practice address

2001 Palisade Ave
Union City, NJ 07087-4429

Phone

(201) 863-4547

Fax

(973) 316-0459

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: pittoop@direct.hobokenumc.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Humc Opco LLC

  • General Acute Care Hospital
  • Hoboken, NJ
  • NPI 1043475668
  NPD

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104900844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 PALISADE AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070874429",
            "telephone_number": "201-863-4547",
            "fax_number": "973-316-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 PALISADE AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070874429",
            "telephone_number": "201-863-4547",
            "fax_number": "973-316-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITTOOP",
        "first_name": "PAUL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MAO3862600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3461203",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integrative Acupuncture & Care PC
• Integrative Acupuncture Wellness PC
• Integrative Wellness
• Interim Healthcare of Hudson-Richmond, Inc.
• Interplay ABA
• Ilda Izquierdo, P.T
• J Dental Lounge
• Hussein Jaafar
• Jacob S Cohen & Sammy Goldstein DDS PC
• Nicole Jacqueline Jacobs

• Pulmonary Disease Physician in Union City, NJ
• Providers in Union City, NJ by specialty
• Pulmonary Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.