NPIMap

Organization Active NPI

Health East Medical Group PC

  • Orthopaedic Surgery Physician
  • Englewood, NJ
National Provider Identifier
1235577172
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
25MA08596900 Issued in NJ
Legal business name
HEALTH EAST MEDICAL GROUP PC
Practice address
54 S Dean St
Englewood, NJ 07631-3514
Phone
(201) 871-4000
NPI assigned
Jun 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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

Authorized official

Name
Anson Moise
Title
Director of Operations
Phone
(201) 871-4000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X 25MA08596900 NJ Primary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X 25MA08595100 NJ
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X 25MD00304200 NJ

Addresses

Primary practice location

54 S Dean St
Englewood, NJ 07631-3514

Mailing address

54 S Dean St
Englewood, NJ 07631-3514

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418083200000",
    "number": "1235577172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 S DEAN ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 S DEAN ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313514",
            "telephone_number": "201-871-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH EAST MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-13",
        "last_updated": "2014-12-09",
        "status": "A",
        "authorized_official_last_name": "MOISE",
        "authorized_official_first_name": "ANSON",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "201-871-4000"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA08596900",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NJ",
            "license": "25MA08595100",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00304200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.