Organization Active NPI

Warren Medicenter, P.a.

  • Primary Care Clinic/Center
  • Bound Brook, NJ
National Provider Identifier
1114921509
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0698360001OtherNJMEDICARE DME MAC

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.