NPIMap

Organization Active NPI

Totowa Pediatric Group, P.a.

  • Pediatrics Physician
  • Totowa, NJ
National Provider Identifier
1366456105
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MA62512 Issued in NJ
Legal business name
TOTOWA PEDIATRIC GROUP, P.A.
Practice address
290 Union Blvd
Ste 2
Totowa, NJ 07512-2610
Phone
(973) 595-0600
Fax
(973) 595-0206
NPI assigned
Jul 28, 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
Dr. Yousef Abdulmasih, M.D.NPI 1942221205
Title
President
Phone
(973) 595-0600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X MA62512 NJ Primary

Addresses

Primary practice location

290 Union Blvd
Ste 2
Totowa, NJ 07512-2610

Mailing address

290 Union Blvd
Ste 2
Totowa, NJ 07512-2610
Phone (973) 595-0600

Other identifiers 1

IdentifierTypeStateIssuer
6888305MedicaidNJ

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7355/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366456105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 UNION BLVD",
            "address_2": "STE 2",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122610",
            "telephone_number": "973-595-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 UNION BLVD",
            "address_2": "STE 2",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122610",
            "telephone_number": "973-595-0600",
            "fax_number": "973-595-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTOWA PEDIATRIC GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABDULMASIH",
        "authorized_official_first_name": "YOUSEF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-595-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA62512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6888305",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Totowa, 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.