Michael M. Mainero, M.D.,P.a.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

NJ55027 Issued in NJ

Legal business name

MICHAEL M. MAINERO, M.D.,P.A.

Practice address

205 Browertown Rd
Suite 202
West Paterson, NJ 07424-2671

Phone

(973) 785-0102

Fax

(973) 785-2205

NPI assigned

Oct 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Michael M Mainero, MD

Title

Owner

Phone

(973) 785-0102

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1194976019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 BROWERTOWN RD",
            "address_2": "SUITE 202",
            "city": "WEST PATERSON",
            "state": "NJ",
            "postal_code": "074242671",
            "telephone_number": "973-785-0102",
            "fax_number": "973-785-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 BROWERTOWN RD",
            "address_2": "SUITE 202",
            "city": "WEST PATERSON",
            "state": "NJ",
            "postal_code": "074242671",
            "telephone_number": "973-785-0102",
            "fax_number": "973-785-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL M. MAINERO, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-09",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "MAINERO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-785-0102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "NJ55027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in West Paterson, NJ
• Providers in West Paterson, NJ by specialty
• Gastroenterology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.