Mihale MD of NJ PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MIHALE MD OF NJ PC

Practice address

613 Washington Blvd # 1151
Jersey City, NJ 07310-2900

Phone

(401) 648-6200

NPI assigned

Jan 14, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Dennis Mihale, MD

Title

Owner

Phone

(888) 985-5455

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1336738350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 ARKAY DR STE 230",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883705",
            "telephone_number": "889-855-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 WASHINGTON BLVD # 1151",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073102900",
            "telephone_number": "401-648-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIHALE MD OF NJ PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-11-08",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "MIHALE",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-985-5455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Jersey City, NJ
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• General Practice Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.