A&S General Physician LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

A&S GENERAL PHYSICIAN LLC

Practice address

1137 Main Ave
Clifton, NJ 07011-2386

Phone

(973) 773-0303

Fax

(973) 773-0004

NPI assigned

Sep 21, 2012

Last updated

Jan 12, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angel R De la Cruz, MDNPI 1336444777

Title

Owner

Phone

(973) 773-0303

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CFHECA

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angel Ramon De la Cruz, MD

  • Internal Medicine Physician
  • Clifton, NJ
  • NPI 1336444777

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Liss Speziale, NP

  • Adult Health Nurse Practitioner
  • Clifton, NJ
  • NPI 1992239487
  Medicare reassignment Care Compare group NPD
• Raul Leonel Cortorreal

  • Family Nurse Practitioner
  • Clifton, NJ
  • NPI 1265170575
  NPD

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1295086908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112386",
            "telephone_number": "973-773-0303",
            "fax_number": "973-773-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112386",
            "telephone_number": "973-773-0303",
            "fax_number": "973-773-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A&S GENERAL PHYSICIAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-21",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "DE LA CRUZ",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-773-0303",
        "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": []
}

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• Internal Medicine Physician in Clifton, NJ
• Providers in Clifton, 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 Jan 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.