NJ Independent Internal Medicine, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA08709600 Issued in NJ

Legal business name

NJ INDEPENDENT INTERNAL MEDICINE, PC

Practice address

1300 Main Ave
Suite 2a
Clifton, NJ 07011-2266

Phone

(973) 340-0160

Fax

(973) 340-1391

NPI assigned

Aug 13, 2013

Organization subpart

No

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

Authorized official

Name

Reyhan Berkel, MDNPI 1265630180

Title

MD

Phone

(973) 340-0160

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Tax ID family

Berkelmd2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• NJ Independent Internal Medicine

  dba BerkelMD

  • Primary Care Clinic/Center
  • Clifton, NJ
  • NPI 1629499314
  NPD tax ID

Locations

Practitioners 1

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

• Reyhan Berkel, MD

  • Internal Medicine Physician
  • Clifton, NJ
  • NPI 1265630180
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1245663277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 MAIN AVE",
            "address_2": "SUITE 2A",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112266",
            "telephone_number": "973-340-0160",
            "fax_number": "973-340-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MAIN AVE",
            "address_2": "SUITE 2A",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112266",
            "telephone_number": "973-340-0160",
            "fax_number": "973-340-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ INDEPENDENT INTERNAL MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-13",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "BERKEL",
        "authorized_official_first_name": "REYHAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "973-340-0160",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08709600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "25MA08709600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NJ Center Health, LLC
• NJ Center of Excellence for Womens Health LLC
• NJ Eye and Ear LLC
• NJ Group Radiology LLC
• NJ Independent Internal Medicine (BerkelMD)
• NJ Institute of Minimal Invasive Surgery LLC
• NJ Medical Supplies LLC
• NJ Neurosurgical
• NJ Pain & Spine PC
• NJ Pain and Veins PA

• Internal Medicine Physician in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; 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.