Organization Active NPI

Robert Picciano, M.D. & Maria Vieira Picciano, M.D., P.C.

  • Internal Medicine Physician
  • Newark, NJ
National Provider Identifier
1235323460
Registry record updated Aug 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA05550400 Issued in NJ
Legal business name
ROBERT PICCIANO, M.D. & MARIA VIEIRA PICCIANO, M.D., P.C.
Practice address
36 Pacific St
Newark, NJ 07105-1665
Phone
(973) 578-4808
Fax
(973) 578-2939
NPI assigned
Aug 30, 2007
Last updated
Aug 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2009

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

Authorized official

Name
Mrs. Fatima Sendao
Title
Office Manager
Phone
(973) 578-4808

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA05550400 NJ Primary
Ophthalmology Physician 207W00000X 25MA05674900 NJ

Addresses

Primary practice location

36 Pacific St
Newark, NJ 07105-1665

Mailing address

36 Pacific Street
Newark, NJ 07105
Phone (973) 578-4808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090824000538 NJ Part B Supplier - Clinic/Group Practice 9739233867 Receives reassigned benefits from 2 practitioners
Practice locations: Newark, NJ

National Provider Directory

National Provider Directory

Locations

36 Pacific St
Newark, NJ 07105
Phone (973) 578-4807

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250121600000",
    "number": "1235323460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 PACIFIC STREET",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07105",
            "telephone_number": "973-578-4808",
            "fax_number": "973-578-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 PACIFIC ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051665",
            "telephone_number": "973-578-4808",
            "fax_number": "973-578-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT PICCIANO, M.D. & MARIA VIEIRA PICCIANO, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2009-08-13",
        "status": "A",
        "authorized_official_last_name": "SENDAO",
        "authorized_official_first_name": "FATIMA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "973-578-4808",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05550400",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA05674900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.