Active NPI
Medical Specialists of Northern Newjersey LLC
- Pulmonary Disease Physician
- Wayne, NJ
National Provider Identifier
1255690822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 25MA08660200
- Legal business name
- MEDICAL SPECIALISTS OF NORTHERN NEWJERSEY LLC
- Practice address
- 54A Hazen CT
Wayne, NJ 07470-3212 - Phone
- (973) 800-9261
- NPI assigned
- May 16, 2012
- 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
- Maria Alfakir, MD
- Title
- Owner/Manager
- Phone
- (973) 800-9261
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 25MA08660200 | NJ | Primary |
Addresses
Primary practice location
54A Hazen CT
Wayne, NJ 07470-3212
Mailing address
54A Hazen CT
Wayne, NJ 07470-3212
Phone (973) 800-9261
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Medical Specialist of Northern Jersey LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pulmonary Disease Physician
- Haledon, NJ
- NPI 1639534423
Locations
378 Belmont Ave
Haledon, NJ 07508
Phone (862) 239-6556
Interoperability endpoints
- https://api.platform.athenahealth.com/23718/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Haledon, NJ
- NPI 1790993897
-
- Sleep Medicine (Internal Medicine) Physician
- Haledon, NJ
- NPI 1528276615
Pulmonary Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337126400000",
"number": "1255690822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54A HAZEN CT",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074703212",
"telephone_number": "973-800-9261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54A HAZEN CT",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074703212",
"telephone_number": "973-800-9261"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL SPECIALISTS OF NORTHERN NEWJERSEY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-16",
"last_updated": "2012-05-16",
"status": "A",
"authorized_official_last_name": "ALFAKIR",
"authorized_official_first_name": "MARIA",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "973-800-9261",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NJ",
"license": "25MA08660200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.