Organization Active NPI

Advanced Internal Medicine PA

  • Internal Medicine Physician
  • Northfield, NJ
National Provider Identifier
1124375290
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ADVANCED INTERNAL MEDICINE PA
Practice address
1015 New Rd
Suite C
Northfield, NJ 08225-1600
Phone
(609) 677-0700
Fax
(609) 677-9060
NPI assigned
Aug 8, 2012
Last updated
Aug 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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

Authorized official

Name
Dr. Steven Nachtigall, MD
Title
Owner
Phone
(609) 677-0700

Specialties & licenses 1

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

Addresses

Primary practice location

1015 New Rd
Suite C
Northfield, NJ 08225-1600

Mailing address

1015 New Rd
Suite C
Northfield, NJ 08225-1600
Phone (609) 677-0700

National Provider Directory

National Provider Directory

Locations

1015 New Rd
Ste C
Northfield, NJ 08225
Phone (609) 677-0700

NPI Registry JSON

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344384000000",
    "number": "1124375290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 NEW RD",
            "address_2": "SUITE C",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251600",
            "telephone_number": "609-677-0700",
            "fax_number": "609-677-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 NEW RD",
            "address_2": "SUITE C",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251600",
            "telephone_number": "609-677-0700",
            "fax_number": "609-677-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED INTERNAL MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-08",
        "last_updated": "2012-08-08",
        "status": "A",
        "authorized_official_last_name": "NACHTIGALL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-677-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; 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.