Organization Active NPI

Dr Anthony M Pastena LLC

  • Family Medicine Physician
  • Nutley, NJ
National Provider Identifier
1154454791
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB06310300 Issued in NJ
Legal business name
DR ANTHONY M PASTENA LLC
Practice address
249 Franklin Ave
Nutley, NJ 07110-2710
Phone
(973) 542-0384
Fax
(973) 542-1172
NPI assigned
Mar 13, 2007
Last updated
Aug 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Authorized official

Name
Dr. Anthony M Pastena, D.O.NPI 1659431195
Title
President
Phone
(973) 542-0384

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB06310300 NJ Primary

Addresses

Primary practice location

249 Franklin Ave
Nutley, NJ 07110-2710

Mailing address

438 Walnut St
Township of Washington, NJ 07676-5066
Phone (973) 542-0384

National Provider Directory

National Provider Directory

Locations

249 Franklin Ave
Nutley, NJ 07110
Phone (973) 542-0383

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1154454791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 WALNUT ST",
            "city": "TOWNSHIP OF WASHINGTON",
            "state": "NJ",
            "postal_code": "076765066",
            "telephone_number": "973-542-0384",
            "fax_number": "973-542-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 FRANKLIN AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102710",
            "telephone_number": "973-542-0384",
            "fax_number": "973-542-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ANTHONY M PASTENA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "PASTENA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-542-0384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB06310300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nutley, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.