Organization Active NPI

Santangelo Medical Center at Montville PC

  • Internal Medicine Physician
  • Montville, NJ
National Provider Identifier
1194931212
Registry record updated Aug 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA069326 Issued in NJ
Legal business name
SANTANGELO MEDICAL CENTER AT MONTVILLE PC
Practice address
2 Changebridge Rd
Suite 103
Montville, NJ 07045-8947
Phone
(973) 263-5000
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2008

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

Authorized official

Name
Frank Santangelo
Title
Medical Director
Phone
(973) 263-5000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X MA069326 NJ
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X MA069326 NJ Primary

Addresses

Primary practice location

2 Changebridge Rd
Suite 103
Montville, NJ 07045-8947

Mailing address

2 Changebridge Rd
Suite 103
Montville, NJ 07045-8947

National Provider Directory

National Provider Directory

Locations

2 Changebridge Rd
Ste 103
Montville, NJ 07045
Phone (973) 263-5000

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219968000000",
    "number": "1194931212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CHANGEBRIDGE RD",
            "address_2": "SUITE 103",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070458947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CHANGEBRIDGE RD",
            "address_2": "SUITE 103",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070458947",
            "telephone_number": "973-263-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTANGELO MEDICAL CENTER AT MONTVILLE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2008-08-29",
        "status": "A",
        "authorized_official_last_name": "SANTANGELO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "973-263-5000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA069326",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA069326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.