Active NPI
Warren Medicenter, P.a.
- Primary Care Clinic/Center
- Bound Brook, NJ
National Provider Identifier
1114921509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- WARREN MEDICENTER, P.A.
- Practice address
- 601 W Union Ave
Ste 107
Bound Brook, NJ 08805-1166 - Phone
- (732) 469-3627
- Fax
- (732) 667-3708
- NPI assigned
- Jun 13, 2005
- 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
- Harold B. Ehrlich, M.D.
- Title
- President
- Phone
- (908) 240-2393
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | NJ | Primary |
Addresses
Primary practice location
601 W Union Ave
Ste 107
Bound Brook, NJ 08805-1166
Mailing address
601 W Union Ave
Ste 107
Bound Brook, NJ 08805-1166
Phone (732) 469-3627
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0698360001 | Other | NJ | MEDICARE DME MAC |
National Provider Directory
National Provider DirectoryLocations
601 W Union Ave
Ste 107
Bound Brook, NJ 08805
Phone (732) 469-3627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1114921509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 W UNION AVE",
"address_2": "STE 107",
"city": "BOUND BROOK",
"state": "NJ",
"postal_code": "088051166",
"telephone_number": "732-469-3627",
"fax_number": "732-667-3708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 W UNION AVE",
"address_2": "STE 107",
"city": "BOUND BROOK",
"state": "NJ",
"postal_code": "088051166",
"telephone_number": "732-469-3627",
"fax_number": "732-667-3708"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WARREN MEDICENTER, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-13",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "EHRLICH",
"authorized_official_first_name": "HAROLD",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "908-240-2393",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DME MAC",
"identifier": "0698360001",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bound Brook, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.