Ironbound Medical Services, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

MA053782 Issued in NJ

Legal business name

IRONBOUND MEDICAL SERVICES, LLC

Practice address

221 Chestnut St
Newark, NJ 07105-1558

Phone

(973) 878-3990

NPI assigned

May 21, 2008

Last updated

May 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Anthony Mustillo, MDNPI 1649470295

Title

Owner and Medical Director

Phone

(973) 878-3990

Specialties & licenses 3

Addresses

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

CLIA laboratory certificates

Practitioners 1

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.

• Robert A Mustillo, M.D.

  • Sports Medicine (Internal Medicine) Physician
  • Newark, NJ
  • NPI 1649470295
  Authorized official Same address or phone

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1346407715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 CHESTNUT ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051558",
            "telephone_number": "973-878-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 CHESTNUT ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051558",
            "telephone_number": "973-878-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRONBOUND MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "MUSTILLO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER AND MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "973-878-3990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "MA053782",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NJ",
            "license": "MA053782",
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NJ",
            "license": "MA053782",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ironbound Community Health Center Inc (Hope and Esperanza Community Health Center)
• Ironbound Dental Specialists
• Ironbound Endo Surgical Center, Inc.
• Ironbound Family Medicine LLC
• Ironbound Medical Associates LLC
• Ironbound MRI, LLC
• Ironbound Newark Medical PC
• Ironbound OBGYN. LLC
• Ironbound Optical (Ideal Eyewear)
• Ironbound Pediatrics PC

• Urgent Care Clinic/Center in Newark, NJ
• Providers in Newark, NJ by specialty
• Urgent Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.