Active NPI
North Jersey Medical Group
- Specialist
- Paterson, NJ
National Provider Identifier
1174732069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA38759
- Legal business name
- NORTH JERSEY MEDICAL GROUP
- Practice address
- 715 Broadway
Paterson, NJ 07514-3406 - Phone
- (973) 684-8617
- NPI assigned
- May 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashoke Agarwal, MD
- Title
- Owner
- Phone
- (973) 684-8617
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA38759 | NJ | Primary |
Addresses
Primary practice location
715 Broadway
Paterson, NJ 07514-3406
Mailing address
715 Broadway
Paterson, NJ 07514-3406
Phone (973) 684-8617
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1119516 | Other | NJ | HORIZON NJ HEALTH |
| 2497031 | Other | AETNA | |
| 8430306 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
715 Broadway
Ste 1
Paterson, NJ 07514
Phone (973) 684-8617
680 Broadway
Ste 116B
Paterson, NJ 07514
Phone (973) 684-8617
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Fair Lawn, NJ
- NPI 1801044557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207612800000",
"number": "1174732069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 BROADWAY",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075143406",
"telephone_number": "973-684-8617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 BROADWAY",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075143406",
"telephone_number": "973-684-8617"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH JERSEY MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-21",
"last_updated": "2008-04-08",
"status": "A",
"authorized_official_last_name": "AGARWAL",
"authorized_official_first_name": "ASHOKE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "973-684-8617",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NJ",
"license": "MA38759",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH",
"identifier": "1119516",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2497031",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8430306",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paterson, NJ
- Njy Medical LLC
- Paula Nociolo, PHARMD
- Jonathan Lawrence Noll, DMD
- North Jersey Center for Sight, LLC
- North Jersey Ekg Reading Group LLC
- North Jersey Pathology LLC
- North Jersey Podiatry Inc
- North Jersey Radiation Oncology Associates, PA
- Northern New Jersey Chiropractic Associates, PA
- Northern New Jersey Emergency Physicians
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.