Pulmonary and Internal Medicine Associates PA

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

27964 Issued in NJ

Legal business name

PULMONARY AND INTERNAL MEDICINE ASSOCIATES PA

Practice address

40 Fuld St
Suite 201
Trenton, NJ 08638-5247

Phone

(609) 695-4358

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Haytham Albizem, MD

Title

President/Owner/Ceo

Phone

(267) 252-6408

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1205923620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3379 QUAKERBRIDGE RD STE 202",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086191269",
            "telephone_number": "215-747-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 FULD ST",
            "address_2": "SUITE 201",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086385247",
            "telephone_number": "609-695-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY AND INTERNAL MEDICINE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "ALBIZEM",
        "authorized_official_first_name": "HAYTHAM",
        "authorized_official_title_or_position": "PRESIDENT/OWNER/CEO",
        "authorized_official_telephone_number": "267-252-6408",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "27964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2914107",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.