Organization Active NPI

Advanced Medical Care NJ LLC

  • Pulmonary Disease Physician
  • Guttenberg, NJ
National Provider Identifier
1295996569
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
25MA04283700 Issued in NJ
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

Updated by the provider on Jun 19, 2008

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)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0160491MedicaidNJ

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.