Active NPI
Parkside Medical Associates, P.a.
- Internal Medicine Physician
- Trenton, NJ
National Provider Identifier
1326086091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PARKSIDE MEDICAL ASSOCIATES, P.A.
- Practice address
- 1450 Parkside Ave
Suite 21
Trenton, NJ 08638-2946 - Phone
- (609) 883-9800
- Fax
- (609) 883-4350
- NPI assigned
- Jun 3, 2006
- 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. William David Stanley, M.D.
- Title
- Founder/President
- Phone
- (609) 883-9800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1450 Parkside Ave
Suite 21
Trenton, NJ 08638-2946
Mailing address
1450 Parkside Ave
Suite 21
Trenton, NJ 08638-2946
Phone (609) 883-9800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5336805 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction Medicine (Internal Medicine) Physician
- Malibu, CA
- NPI 1730128513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1326086091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 PARKSIDE AVE",
"address_2": "SUITE 21",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086382946",
"telephone_number": "609-883-9800",
"fax_number": "609-883-4350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 PARKSIDE AVE",
"address_2": "SUITE 21",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086382946",
"telephone_number": "609-883-9800",
"fax_number": "609-883-4350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKSIDE MEDICAL ASSOCIATES, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "STANLEY",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "FOUNDER/PRESIDENT",
"authorized_official_telephone_number": "609-883-9800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5336805",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Trenton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.