Organization Active NPI

Personal Care Adult Medicine, PC

  • Internal Medicine Physician
  • West Orange, NJ
National Provider Identifier
1255633285
Registry record updated Nov 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PERSONAL CARE ADULT MEDICINE, PC
Practice address
100 Northfield Ave
Suite 3
West Orange, NJ 07052-4702
Phone
(973) 243-1400
Fax
(973) 243-1415
NPI assigned
Nov 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2010

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

Authorized official

Name
William Kritzberg, MD
Title
President
Phone
(973) 243-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

100 Northfield Ave
Suite 3
West Orange, NJ 07052-4702

Mailing address

100 Northfield Ave
Suite 3
West Orange, NJ 07052-4702

National Provider Directory

National Provider Directory

Locations

100 Northfield Ave
Ste 3
West Orange, NJ 07052
Phone (973) 243-1400

NPI Registry JSON

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

{
    "created_epoch": "1290556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290556800000",
    "number": "1255633285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NORTHFIELD AVE",
            "address_2": "SUITE 3",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NORTHFIELD AVE",
            "address_2": "SUITE 3",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524702",
            "telephone_number": "973-243-1400",
            "fax_number": "973-243-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL CARE ADULT MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-24",
        "last_updated": "2010-11-24",
        "status": "A",
        "authorized_official_last_name": "KRITZBERG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-243-1400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, 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.

Verify at the official NPI Registry.