Cornel Mircea MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA065118 Issued in NJ

Legal business name

CORNEL MIRCEA MD PA

Practice address

123 Highland Ave
Ste 104
Glen Ridge, NJ 07028-1527

Phone

(973) 680-5522

Fax

(973) 680-1180

NPI assigned

Jun 26, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Cornel Mircea, M.D.

Title

Owner

Phone

(973) 680-5522

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1295997609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 HIGHLAND AVE STE 104",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281522",
            "telephone_number": "973-680-5522",
            "fax_number": "973-680-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 HIGHLAND AVE",
            "address_2": "STE 104",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281527",
            "telephone_number": "973-680-5522",
            "fax_number": "973-680-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNEL MIRCEA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "MIRCEA",
        "authorized_official_first_name": "CORNEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-680-5522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA065118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asad M Cheema, MD
• Christina Ciotola
• Andrea Cohen
• Paul A Condouris, DMD
• Matthew Coons, MD
• Lavinia May Couture, PA
• Megan Diane Crowley, PA-C
• Nitika Dabas, MD, MPH
• Shereen Dahab, DO
• Efthymios I Daniskas, M.D.

• Specialist in Glen Ridge, NJ
• Providers in Glen Ridge, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.