NPIMap

Organization Active NPI

Suburban Medical Associates

  • Internal Medicine Physician
  • Orange, NJ
National Provider Identifier
1154474880
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SUBURBAN MEDICAL ASSOCIATES
Practice address
135 S Center St
Orange, NJ 07050-3522
Phone
(973) 266-1036
Fax
(973) 395-1040
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Authorized official

Name
William Arthur Digiacomo, M.D.,F.A.C.P.
Title
President
Phone
(973) 266-1036

Specialties & licenses 1

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

Addresses

Primary practice location

135 S Center St
Orange, NJ 07050-3522

Mailing address

PO Box 366
Short Hills, NJ 07078-0366
Phone (973) 266-1036

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1154474880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070780366",
            "telephone_number": "973-266-1036",
            "fax_number": "973-395-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S CENTER ST",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070503522",
            "telephone_number": "973-266-1036",
            "fax_number": "973-395-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "DIGIACOMO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-266-1036",
        "authorized_official_credential": "M.D.,F.A.C.P."
    },
    "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 Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.