A Sulse M. D. Prof Assoc

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA02311900 Issued in NJ

Legal business name

A SULSE M. D. PROF ASSOC

Practice address

423 Amboy Ave
Woodbridge, NJ 07095-2909

Phone

(732) 634-6188

Fax

(908) 769-0945

NPI assigned

Oct 7, 2008

Organization subpart

No

Name

Mercedes Coronado

Title

Office Manager

Phone

(732) 634-6188

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

• Stanley Kim, M.D.

  • Specialist
  • Edison, NJ
  • NPI 1306850433
  NPD (past)
• Jun-Ki Park, M.D.

  • Nephrology Physician
  • Stockbridge, GA
  • NPI 1861713471
  NPD (past)
• Agatha Song

  • Specialist
  • Roseburg, OR
  • NPI 1992925507
  NPD (past)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 7, 2008.

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1124279252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 AMBOY AVE",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070952909",
            "telephone_number": "732-634-6188",
            "fax_number": "908-769-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 AMBOY AVE",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070952909",
            "telephone_number": "732-634-6188",
            "fax_number": "908-769-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A SULSE M. D. PROF ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "CORONADO",
        "authorized_official_first_name": "MERCEDES",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-634-6188"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA02311900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Kinder Touch
• Abc Collective
• Absolute Chiropractic & Massage, LLC
• Absolute Chiropractic Family Care of Woodbridge
• Absolute Eyewear
• Achieve Beyond

• All providers in Woodbridge, NJ
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.