Active NPI
Advanced Medical Care NJ LLC
- Pulmonary Disease Physician
- Guttenberg, NJ
National Provider Identifier
1295996569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 25MA04283700
- Legal business name
- ADVANCED MEDICAL CARE NJ LLC
- Practice address
- 6815 Bergenline Ave
Guttenberg, NJ 07093-1807 - Phone
- (201) 453-2025
- Fax
- (201) 453-2029
- NPI assigned
- Jun 19, 2008
- 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
- Dr. Jose R Sanchez Pena, MD
- Title
- President
- Phone
- (201) 453-2025
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 25MA04283700 | NJ | Primary |
Addresses
Primary practice location
6815 Bergenline Ave
Guttenberg, NJ 07093-1807
Mailing address
6815 Bergenline Ave
Guttenberg, NJ 07093-1807
Phone (201) 453-2025
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0160491 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
6815 Bergenline Ave
Guttenberg, NJ 07093
Phone (201) 453-2025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213833600000",
"number": "1295996569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6815 BERGENLINE AVE",
"city": "GUTTENBERG",
"state": "NJ",
"postal_code": "070931807",
"telephone_number": "201-453-2025",
"fax_number": "201-453-2029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6815 BERGENLINE AVE",
"city": "GUTTENBERG",
"state": "NJ",
"postal_code": "070931807",
"telephone_number": "201-453-2025",
"fax_number": "201-453-2029"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED MEDICAL CARE NJ LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-19",
"last_updated": "2008-06-19",
"status": "A",
"authorized_official_last_name": "SANCHEZ PENA",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "201-453-2025",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NJ",
"license": "25MA04283700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0160491",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Guttenberg, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.