NPIMap

Organization Active NPI

US Medgroup of New Jersey, P.a.

  • Health Service Clinic/Center
  • Linthicum, MD
National Provider Identifier
1194911172
Registry record updated May 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
US MEDGROUP OF NEW JERSEY, P.A.
Practice address
989 Corporate Blvd
Suite a
Linthicum, MD 21090-2227
Phone
(888) 809-3214
Fax
(410) 850-4264
NPI assigned
Sep 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2009

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

Authorized official

Name
Mr. W Tom Fogarty, MD
Title
Evp, Cmo
Phone
(800) 232-3550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

989 Corporate Blvd
Suite a
Linthicum, MD 21090-2227

Mailing address

5080 Spectrum Dr
Suite 1200 West Tower
Addison, TX 75001-4648
Phone (800) 232-3550

National Provider Directory

National Provider Directory
Tax ID family
Concentra Advanced Specialist4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241740800000",
    "number": "1194911172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 SPECTRUM DR",
            "address_2": "SUITE 1200 WEST TOWER",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014648",
            "telephone_number": "800-232-3550",
            "fax_number": "866-465-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 CORPORATE BLVD",
            "address_2": "SUITE A",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "210902227",
            "telephone_number": "888-809-3214",
            "fax_number": "410-850-4264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US MEDGROUP OF NEW JERSEY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2009-05-08",
        "status": "A",
        "authorized_official_last_name": "FOGARTY",
        "authorized_official_first_name": "W",
        "authorized_official_middle_name": "TOM",
        "authorized_official_title_or_position": "EVP, CMO",
        "authorized_official_telephone_number": "800-232-3550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linthicum, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.