Organization Active NPI

Physician Partners of Englewood, PC

  • Internal Medicine Physician
  • Jersey City, NJ
National Provider Identifier
1154671501
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PHYSICIAN PARTNERS OF ENGLEWOOD, PC
Practice address
2 Journal Square
2ND FLR
Jersey City, NJ 07306
Phone
(201) 963-7000
NPI assigned
Sep 13, 2012
Last updated
Nov 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Authorized official

Name
Michael Kaseman
Title
Sr. Director of Financial Planning
Phone
(201) 894-3853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

2 Journal Square
2ND FLR
Jersey City, NJ 07306

Mailing address

375 Engle St
Englewood, NJ 07631-1823
Phone (201) 608-2136

Other practice location 1

968 River Rd
Suite 203
Edgewater, NJ 07020-2237
Phone (201) 869-5618

Other identifiers 2

IdentifierTypeStateIssuer
0812552MedicaidNJ
257155OtherNJNJ MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20121115000103 NJ Part B Supplier - Clinic/Group Practice 1153572482 Receives reassigned benefits from 130 practitioners
O20250115000971 NY Part B Supplier - Clinic/Group Practice 1153572482 Receives reassigned benefits from 4 practitioners
Practice locations: Orangeburg, NY; Tarrytown, NY; Palisades, NY

National Provider Directory

National Provider Directory

Locations

25 Rockwood Pl
Ste 200
Englewood, NJ 07631
Phone (201) 608-2848

286 Engle St
#1
Englewood, NJ 07631
Phone (201) 567-5636

309 Engle St
Ste 7
Englewood, NJ 07631
Phone (201) 487-7246

309 Engle St
Ste 8
Englewood, NJ 07631
Phone (201) 568-3335

350 Engle St
#4E
Englewood, NJ 07631
Phone (201) 292-1400

350 Engle St
Fl 4
Englewood, NJ 07631
Phone (201) 568-5250

350 Engle St
Fl 5
Englewood, NJ 07631
Phone (201) 568-5250

350 Engle St
Rm 5518
Englewood, NJ 07631
Phone (201) 568-5250

350 Engle St
Ste 5516
Englewood, NJ 07631
Phone (201) 731-3178

350 Engle St
Ste 6
Englewood, NJ 07631

370 Grand Ave
Ste 120
Englewood, NJ 07631

22-01 Broadway
Ste 304
Fair Lawn, NJ 07410

22-18 Broadway
Ste 101
Fair Lawn, NJ 07410
Phone (201) 773-0887

2 Journal Square Plz
Ste E
Jersey City, NJ 07306

220 Livingston St
Ste 202
Northvale, NJ 07647
Phone (201) 768-9090

100 W Ridgewood Ave
Paramus, NJ 07652
Phone (201) 444-8200

661 Main St
Ste 202
Paterson, NJ 07503
Phone (973) 321-9845

680 Broadway
Ste 116A
Paterson, NJ 07514
Phone (862) 257-9820

637 Route 23
Ste 300
Pompton Plains, NJ 07444
Phone (201) 414-9840

1029 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-2025

274 County Rd
Lowr
Tenafly, NJ 07670
Phone (201) 568-0493

Practitioners & affiliated clinicians

Practitioners 220

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.

View all 220

NPI Registry JSON

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1154671501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 ENGLE ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311823",
            "telephone_number": "201-608-2136",
            "fax_number": "201-894-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 JOURNAL SQUARE",
            "address_2": "2ND FLR",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07306",
            "telephone_number": "201-963-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "968 River Rd",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "Edgewater",
            "state": "NJ",
            "postal_code": "070202237",
            "country_code": "US",
            "telephone_number": "201-869-5618",
            "fax_number": "201-224-2405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSICIAN PARTNERS OF ENGLEWOOD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "KASEMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SR. DIRECTOR OF FINANCIAL PLANNING",
        "authorized_official_telephone_number": "201-894-3853"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0812552",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ MEDICARE",
            "identifier": "257155",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.