Active NPI
Mendham Medical Group LLP
- Internal Medicine Physician
- Mendham, NJ
National Provider Identifier
1366629206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MENDHAM MEDICAL GROUP LLP
- Practice address
- 19 E Main St
Mendham, NJ 07945-1503 - Phone
- (973) 543-6505
- Fax
- (973) 543-2967
- NPI assigned
- Jan 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Judith M Ciuffreda
- Title
- Office Manager
- Phone
- (973) 543-6505
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
19 E Main St
Mendham, NJ 07945-1503
Mailing address
19 E Main St
Mendham, NJ 07945-1503
Phone (973) 543-6505
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2769107 | Medicaid | NJ | |
| 41304 | Other | AETNA |
National Provider Directory
National Provider DirectoryLocations
19 E Main St
Mendham, NJ 07945
Phone (973) 543-4440
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Mendham, NJ
- NPI 1033959317
-
- Adult Health Nurse Practitioner
- Mendham, NJ
- NPI 1174091441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201046400000",
"number": "1366629206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 E MAIN ST",
"city": "MENDHAM",
"state": "NJ",
"postal_code": "079451503",
"telephone_number": "973-543-6505",
"fax_number": "973-543-2967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 E MAIN ST",
"city": "MENDHAM",
"state": "NJ",
"postal_code": "079451503",
"telephone_number": "973-543-6505",
"fax_number": "973-543-2967"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENDHAM MEDICAL GROUP LLP",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-23",
"last_updated": "2008-01-23",
"status": "A",
"authorized_official_last_name": "CIUFFREDA",
"authorized_official_first_name": "JUDITH",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "973-543-6505",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2769107",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "41304",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mendham, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.