Pathology Associates of Northwest Jersey, LLC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

25MA02250300 Issued in NJ

Legal business name

PATHOLOGY ASSOCIATES OF NORTHWEST JERSEY, LLC

Practice address

651 Willow Grove St
Pathology Department
Hackettstown, NJ 07840-1799

Phone

(908) 850-6948

Fax

(908) 441-1408

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mohammad A Khan, MD

Title

President

Phone

(908) 850-6948

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Felipe A Querimit Jr., MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Hackettstown, NJ
  • NPI 1609980853
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280448000000",
    "number": "1205940475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 FORD RD",
            "address_2": "SUITE 3-H",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078341374",
            "telephone_number": "973-625-3366",
            "fax_number": "973-625-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 WILLOW GROVE ST",
            "address_2": "PATHOLOGY DEPARTMENT",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078401799",
            "telephone_number": "908-850-6948",
            "fax_number": "908-441-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHOLOGY ASSOCIATES OF NORTHWEST JERSEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2010-07-30",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-850-6948",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": "25MA02250300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6353304",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mausam M Patel, PHARMD, RPH
• Pranali Patel, DDS,MSD
• Pranav S Patel, PHARMD
• Radhika Patel, NP
• Rita Patel
• Katelynn Patronick, LCSW
• Benjamin Paulussen, DMD
• David Paulussen, D.M.D.
• Peace and Growth Therapy, LLC
• Faith Pedersen, BSN, RN, IBCLC

• Anatomic Pathology & Clinical Pathology Physician in Hackettstown, NJ
• Providers in Hackettstown, NJ by specialty
• Anatomic Pathology & Clinical Pathology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; 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.