NPIMap

Organization Active NPI

Services of Physicians LLC

  • Internal Medicine Physician
  • East Orange, NJ
National Provider Identifier
1336335264
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SERVICES OF PHYSICIANS LLC
Practice address
576 Central Ave
Suite 204
East Orange, NJ 07018-1951
Phone
(973) 676-6800
Fax
(973) 676-6802
NPI assigned
Sep 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2009

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

Authorized official

Name
Mrs. Diana RomanNPI 1629024922
Title
Owner
Phone
(732) 247-1106

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

576 Central Ave
Suite 204
East Orange, NJ 07018-1951

Mailing address

576 Central Ave
Suite 204
East Orange, NJ 07018-1951
Phone (973) 676-6800

Other identifiers 2

IdentifierTypeStateIssuer
0107140MedicaidNJ
116427OtherNJMEDCARE PROVIDER

National Provider Directory

National Provider Directory

Locations

576 Central Ave
Ste 204
East Orange, NJ 07018
Phone (973) 676-6800

1553 State Route 27
Ste 1500
Somerset, NJ 08873
Phone (732) 247-1106

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232064000000",
    "number": "1336335264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 CENTRAL AVE",
            "address_2": "SUITE 204",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181951",
            "telephone_number": "973-676-6800",
            "fax_number": "973-676-6802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 CENTRAL AVE",
            "address_2": "SUITE 204",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181951",
            "telephone_number": "973-676-6800",
            "fax_number": "973-676-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICES OF PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2009-01-16",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-247-1106",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": "0107140",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCARE PROVIDER",
            "identifier": "116427",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; 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.