General Clinica South PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA045725 Issued in NJ

Legal business name

GENERAL CLINICA SOUTH PA

Practice address

4801 Broadway
Union City, NJ 07087-6516

Phone

(201) 543-1668

NPI assigned

Nov 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Juan Delacruz, MD

Title

Director

Phone

(201) 543-1668

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195776000000",
    "number": "1255512810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 BROADWAY",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070876516",
            "telephone_number": "201-543-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 BROADWAY",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070876516",
            "telephone_number": "201-543-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL CLINICA SOUTH PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-23",
        "last_updated": "2007-11-23",
        "status": "A",
        "authorized_official_last_name": "DELACRUZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "201-543-1668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA045725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dwight E. Garcia, DMD
• Nancy Garcia, OTR
• Gilberto Gastell, M.D.
• Poonam Gat, DDS
• Milagros J Gaton-Munoz, D.D.S
• Grant Booth Gerow, DMD
• Gesbas Medical,LLC
• Fariha Asad Ghuman, DDS
• Ahylzabeth Giannantonio, MSW, LCSW
• Gilberto F Gastell MD PA

• Internal Medicine Physician in Union City, NJ
• Providers in Union City, 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 Nov 23, 2007; 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.