Northeast Medical Care, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NORTHEAST MEDICAL CARE, PC

Practice address

59 Roseberry St
Phillipsburg, NJ 08865-1627

Phone

(908) 454-8600

Fax

(908) 454-3524

NPI assigned

May 31, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Tara Jean Nakoa

Title

Billing Coordinator

Phone

(610) 997-0779

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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

• William Shawn Harriman, P.A.

  • Physician Assistant
  • Allentown, PA
  • NPI 1710930144
  NPD (past)
• Robert Eugene Pellegrine, MD

  • Internal Medicine Physician
  • Park City, UT
  • NPI 1942441068
  NPD (past)

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1275570418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 ROSEBERRY ST",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651627",
            "telephone_number": "908-454-8600",
            "fax_number": "908-454-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 ROSEBERRY ST",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651627",
            "telephone_number": "908-454-8600",
            "fax_number": "908-454-3524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST MEDICAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "NAKOA",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "610-997-0779",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMEDICARE PIN",
            "identifier": "DB3243",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMEDICARE PIN",
            "identifier": "DF8599",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha Eppinger Nichols, OTR
• David Nicholson
• Felicia Nickens
• Allison Nicole, LPC, LCADC
• Northampton Clinical Care Associates of New Jersey PC
• Northstar Counseling Services LLC
• Northwest New Jersey Community Action Program
• Northwest Total Care Center Associates, L.P.
• Blaire Nunn
• Ryan Mark O'Donnell, M.D.

• Internal Medicine Physician in Phillipsburg, NJ
• Providers in Phillipsburg, 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 Dec 5, 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.