Active NPI
Marta General Sugery, LLC
- Surgery Physician
- Teaneck, NJ
National Provider Identifier
1245425040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 25MB08248700
- Legal business name
- MARTA GENERAL SUGERY, LLC
- Practice address
- 1086 Teaneck Rd
Suite 4F1
Teaneck, NJ 07666-4854 - Phone
- (201) 530-5520
- Fax
- (201) 530-5519
- NPI assigned
- Sep 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peter T Marta, DO
- Title
- Chief Administrator
- Phone
- (201) 574-5281
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 25MB08248700 | NJ | Primary |
Addresses
Primary practice location
1086 Teaneck Rd
Suite 4F1
Teaneck, NJ 07666-4854
Mailing address
1086 Teaneck Rd
Suite 4F1
Teaneck, NJ 07666-4854
Phone (201) 530-5520
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1290556800000",
"number": "1245425040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1086 TEANECK RD",
"address_2": "SUITE 4F1",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076664854",
"telephone_number": "201-530-5520",
"fax_number": "201-530-5519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1086 TEANECK RD",
"address_2": "SUITE 4F1",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076664854",
"telephone_number": "201-530-5520",
"fax_number": "201-530-5519"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTA GENERAL SUGERY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-14",
"last_updated": "2010-11-24",
"status": "A",
"authorized_official_last_name": "MARTA",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "CHIEF ADMINISTRATOR",
"authorized_official_telephone_number": "201-574-5281",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "NJ",
"license": "25MB08248700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Teaneck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.