NPIMap

Organization Active NPI

Clinton Medical Associates PA

  • Internal Medicine Physician
  • South Orange, NJ
National Provider Identifier
1295747871
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA043348 Issued in NJ
Legal business name
CLINTON MEDICAL ASSOCIATES PA
Practice address
707 S Orange Ave
South Orange, NJ 07079-2698
Phone
(973) 761-6111
Fax
(973) 761-4990
NPI assigned
Aug 12, 2006
Last updated
Oct 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Authorized official

Name
Mrs. Manisha Kadakia
Title
Biller
Phone
(973) 761-6111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MA043348 NJ Primary

Addresses

Primary practice location

707 S Orange Ave
South Orange, NJ 07079-2698

Mailing address

707 S Orange Ave
South Orange, NJ 07079-2698
Phone (973) 761-6111

National Provider Directory

National Provider Directory

Locations

310 Central Ave
Ste 101
East Orange, NJ 07018
Phone (973) 673-6300

835 Clinton Ave
Newark, NJ 07108
Phone (973) 399-3323

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1295747871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 S ORANGE AVE",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792698",
            "telephone_number": "973-761-6111",
            "fax_number": "973-761-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 S ORANGE AVE",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792698",
            "telephone_number": "973-761-6111",
            "fax_number": "973-761-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON MEDICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "KADAKIA",
        "authorized_official_first_name": "MANISHA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "973-761-6111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA043348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.