Organization Active NPI

Atileh Medical PC

  • Internal Medicine Physician
  • Watchung, NJ
National Provider Identifier
1114437753
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ATILEH MEDICAL PC
Practice address
465 Johnston Dr
Watchung, NJ 07069-6452
Phone
(908) 251-2754
NPI assigned
Oct 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Rachel Lefkowitz
Title
Billing Manager
Phone
(718) 782-6380

Specialties & licenses 1

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

Addresses

Primary practice location

465 Johnston Dr
Watchung, NJ 07069-6452

Mailing address

465 Johnston Dr
Watchung, NJ 07069-6452
Phone (908) 251-2754

Other identifiers 1

IdentifierTypeStateIssuer
1750343034OtherNYCOMMERCIAL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1114437753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 JOHNSTON DR",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696452",
            "telephone_number": "908-251-2754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 JOHNSTON DR",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696452",
            "telephone_number": "908-251-2754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATILEH MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "LEFKOWITZ",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "718-782-6380"
    },
    "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": "COMMERCIAL",
            "identifier": "1750343034",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watchung, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.