NPIMap

Organization Active NPI

Passaic County Integrated

  • Cardiovascular Specialist/Technologist
  • Paterson, NJ
National Provider Identifier
1356426159
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Specialist/TechnologistTaxonomy code 246X00000X
License
25MA03585900 Issued in NJ
Legal business name
PASSAIC COUNTY INTEGRATED
Practice address
606 Broadway
Paterson, NJ 07514-1916
Phone
(973) 278-8818
NPI assigned
Oct 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jose R Sanchez Pena, M.D.
Title
Owner
Phone
(201) 758-1101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246X00000X 25MA03585900 NJ Primary

Addresses

Primary practice location

606 Broadway
Paterson, NJ 07514-1916

Mailing address

606 Broadway
Paterson, NJ 07514-1916
Phone (973) 278-8818

National Provider Directory

National Provider Directory
Tax ID family
Passaic County Integrated Healthcare7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356426159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141916",
            "telephone_number": "973-278-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141916",
            "telephone_number": "973-278-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSAIC COUNTY INTEGRATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ PENA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-758-1101",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "246X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular",
            "state": "NJ",
            "license": "25MA03585900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.