NPIMap

Organization Active NPI

County of Essex

  • Ophthalmology Physician
  • Cedar Grove, NJ
National Provider Identifier
1114975166
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
50706 Issued in NJ
Legal business name
COUNTY OF ESSEX
Practice address
204 Grove Ave
Cedar Grove, NJ 07009-1436
Phone
(973) 571-2800
NPI assigned
May 4, 2006
Organization subpart
Yes
Parent organization
COUNTY OF ESSEXAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Authorized official

Name
Luicia Guarini
Title
Director Health & Rehab
Phone
(973) 571-2800

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 50706 NJ Primary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X 50706 NJ
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X 50706 NJ
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X 50706 NJ

Addresses

Primary practice location

204 Grove Ave
Cedar Grove, NJ 07009-1436

Mailing address

204 Grove Ave
Cedar Grove, NJ 07009-1436
Phone (973) 571-2800

Other names 1

  • ESSEX COUNTY HOSPITAL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040109000480 NJ Part B Supplier - Clinic/Group Practice 7214837061 Receives reassigned benefits from 14 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cedar Grove, NJ

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Essex County Hospital6 organizations share this tax ID, including this one
Part of
Essex County Hospital

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

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": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1114975166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 GROVE AVE",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091436",
            "telephone_number": "973-571-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 GROVE AVE",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091436",
            "telephone_number": "973-571-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF ESSEX",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF ESSEX",
        "enumeration_date": "2006-05-04",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "GUARINI",
        "authorized_official_first_name": "LUICIA",
        "authorized_official_title_or_position": "DIRECTOR HEALTH & REHAB",
        "authorized_official_telephone_number": "973-571-2800"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "50706",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "50706",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "NJ",
            "license": "50706",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "50706",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ESSEX COUNTY HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Grove, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.