T and D Medical Associates LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

T AND D MEDICAL ASSOCIATES LLC

Practice address

132 William St
Orange, NJ 07050-4065

Phone

(973) 674-8985

Fax

(973) 674-8983

NPI assigned

Jun 22, 2011

Organization subpart

No

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

Authorized official

Name

Christian Dort, MD

Title

MD

Phone

(973) 280-0963

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318896000000",
    "number": "1376839860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 GRUMMAN AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071122219",
            "telephone_number": "973-280-0963",
            "fax_number": "973-926-6287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 WILLIAM ST",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070504065",
            "telephone_number": "973-674-8985",
            "fax_number": "973-674-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T AND D MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-22",
        "last_updated": "2011-10-18",
        "status": "A",
        "authorized_official_last_name": "DORT",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "973-280-0963",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; 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.