Caldwell Medical Center Group

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

CALDWELL MEDICAL CENTER GROUP

Practice address

360 Bloomfield Ave
Caldwell, NJ 07006-4905

Phone

(973) 226-8464

Fax

(973) 226-3750

NPI assigned

Oct 20, 2023

Organization subpart

No

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

Authorized official

Name

Fred Yarazavi

Title

Billing Manager

Phone

(973) 773-2037

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Edwin Suarez, MD

  • Internal Medicine Physician
  • Caldwell, NJ
  • NPI 1831230507
  NPD (past)
• Lynette G Suarez, MD

  • Internal Medicine Physician
  • Caldwell, NJ
  • NPI 1689736993
  NPD (past)

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

{
    "created_epoch": "1697760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1225810492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4168",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070128168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 BLOOMFIELD AVE",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070064905",
            "telephone_number": "973-226-8464",
            "fax_number": "973-226-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALDWELL MEDICAL CENTER GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-20",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "YARAZAVI",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "973-773-2037"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabel Budd
• Bwell Nutrition NJ
• Michael Timothy Cahill, D.M.D.
• Caldwell Dental Assoc
• Caldwell Dental Spa LLC (Nuva Smile)
• Caldwell University (Caldwell University Center for Autism and Applied Behavior Analysis)
• Sandra Cammarata, MD
• Giovanni Campanile, MD
• Cardio Vascular Associates of N.J., P.a.
• Michelle Estefania Castruita Chavez, LSW

• Gastroenterology Physician in Caldwell, NJ
• Providers in Caldwell, 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 20, 2023; 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.