Northeast Healthcare Associates, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA05369700 Issued in NJ

Legal business name

NORTHEAST HEALTHCARE ASSOCIATES, LLC

Practice address

220 Market St
Perth Amboy, NJ 08861-4331

Phone

(770) 874-1122

Fax

(770) 792-7893

NPI assigned

Apr 9, 2010

Organization subpart

No

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

Authorized official

Name

Nelson Medrano

Title

Director

Phone

(177) 079-2027

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270771200000",
    "number": "1265758742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6881",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300650881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MARKET ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614331",
            "telephone_number": "770-874-1122",
            "fax_number": "770-792-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST HEALTHCARE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-09",
        "last_updated": "2010-04-09",
        "status": "A",
        "authorized_official_last_name": "MEDRANO",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "177-079-2027"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA05369700",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NJ",
            "license": "25MA06683000",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA04247500",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MA02420000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne M Newman, MD
• Tai T Nguyen, RPH
• Mark Lee Niemiera, MD
• Matthew Gerard Niemiera, D.M.D.
• Non-Surgical Orthopedics of New Jersey
• Susan Nowelsky, MSW
• Dena Marie Nunez, MA, NCC, LAC
• Giselle C Nunez, RD
• Maribel Nunez, LCADC, CCS
• Nutan Nadkarni MD Faap LLC

• Family Medicine Physician in Perth Amboy, NJ
• Providers in Perth Amboy, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.