Organization Active NPI

Medical Associates of Englewood, PC

Doing business as Englewood Health Physician Network

  • Emergency Medicine Physician
  • Jersey City, NJ
National Provider Identifier
1326791906
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
MEDICAL ASSOCIATES OF ENGLEWOOD, PC
Doing business as
Englewood Health Physician Network
Practice address
2 Journal Square Plaza
Suite a
Jersey City, NJ 07306-4001
Phone
(551) 325-2333
Fax
(201) 568-6532
NPI assigned
Feb 2, 2022
Last updated
Jun 19, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MEDICAL ASSOCIATES OF ENGLEWOOD, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Authorized official

Name
Saman Ghaffar
Title
Director
Phone
(201) 894-3012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Primary

Addresses

Primary practice location

2 Journal Square Plaza
Suite a
Jersey City, NJ 07306-4001

Mailing address

PO Box 14564
Belfast, ME 04915-4038

Other names 2

  • Englewood Health Physician Network Doing business as
  • EHPN Urgent Care Journal Square Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0857401Englewood Health Physician Network -2 Journal Square Plaza, Jersey City, NJ 07306ComplianceSep 9, 2027

National Provider Directory

National Provider Directory
Tax ID family
Medical Assoc of Englewood6 organizations share this tax ID, including this one
Part of
Medical Assoc of Englewood

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2 Journal Square Plz
Ste 1
Jersey City, NJ 07306
Phone (201) 656-2300

2 Journal Square Plz
Ste A
Jersey City, NJ 07306
Phone (551) 325-2333

NPI Registry JSON

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1326791906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14564",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 JOURNAL SQUARE PLAZA",
            "address_2": "SUITE A",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064001",
            "telephone_number": "551-325-2333",
            "fax_number": "201-568-6532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ASSOCIATES OF ENGLEWOOD, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL ASSOCIATES OF ENGLEWOOD, PC",
        "enumeration_date": "2022-02-02",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "GHAFFAR",
        "authorized_official_first_name": "SAMAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "201-894-3012"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Englewood Health Physician Network",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Englewood Health Physician Network",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EHPN Urgent Care Journal Square",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.