Organization Active NPI

Parul S Amin M.D, P.a

  • Internal Medicine Physician
  • Newark, NJ
National Provider Identifier
1184944837
Registry record updated Jun 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PARUL S AMIN M.D, P.A
Practice address
906 N5TH Street
C101
Newark, NJ 07107-2845
Phone
(973) 667-6650
Fax
(973) 798-2169
NPI assigned
Jun 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2010

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

Authorized official

Name
Dr. Parul S. Amin, M.D.NPI 1316000540
Title
Owner
Phone
(973) 667-6650

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

906 N5TH Street
C101
Newark, NJ 07107-2845

Mailing address

906 N5TH Street
C101
Newark, NJ 07107-2845
Phone (973) 667-6650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100623000113 NJ Part B Supplier - Clinic/Group Practice 0547391351 Receives reassigned benefits from 2 practitioners
Practice locations: Newark, NJ; West Orange, NJ; Rochelle Park, NJ; Orange, NJ; Kearny, NJ; East Orange, NJ; Cedar Grove, NJ; Bloomfield, NJ…

National Provider Directory

National Provider Directory

Locations

23 Park Pl
Bloomfield, NJ 07003
Phone (973) 268-1400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1184944837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 N5TH STREET",
            "address_2": "C101",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071072845",
            "telephone_number": "973-667-6650",
            "fax_number": "973-798-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 N5TH STREET",
            "address_2": "C101",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071072845",
            "telephone_number": "973-667-6650",
            "fax_number": "973-798-2169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARUL S AMIN M.D, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "PARUL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-667-6650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "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 Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; 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.