Emile I. Rangel, MD, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

MA066179 Issued in NJ

Legal business name

EMILE I. RANGEL, MD, LLC

Practice address

6804 Bergenline Avenue
North Bergen, NJ 07093-1826

Phone

(201) 240-2707

NPI assigned

Aug 6, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Emile Ivan Rangel, MD

Title

Medical Director/President

Phone

(201) 240-2707

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1336558162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 PALISADE AVE., APT. 10B",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "07087",
            "telephone_number": "201-240-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6804 BERGENLINE AVENUE",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070931826",
            "telephone_number": "201-240-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILE I. RANGEL, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-06",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "RANGEL",
        "authorized_official_first_name": "EMILE",
        "authorized_official_middle_name": "IVAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "201-240-2707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "MA066179",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "MA066179",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Wanda I Escalera
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• Clinic/Center in North Bergen, NJ
• Providers in North Bergen, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; 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.