Organization Active NPI

Midtown Primary Care, L.L.C.

  • Internal Medicine Physician
  • Jersey City, NJ
National Provider Identifier
1386698348
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA-55439 Issued in NJ
Legal business name
MIDTOWN PRIMARY CARE, L.L.C.
Practice address
550 Newark Ave
Suite 308
Jersey City, NJ 07306-1326
Phone
(201) 656-2300
Fax
(201) 656-2390
NPI assigned
May 22, 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. Edward F. Boylan, MDNPI 1144286105
Title
Owner/MD
Phone
(201) 656-2300

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MA-55439 NJ Primary

Addresses

Primary practice location

550 Newark Ave
Suite 308
Jersey City, NJ 07306-1326

Mailing address

PO Box 8358
Jersey City, NJ 07308-8358
Phone (201) 656-2300

Other names 1

  • Midtown Occupational Medicine, L.L.C. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386698348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8358",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073088358",
            "telephone_number": "201-656-2300",
            "fax_number": "201-656-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 NEWARK AVE",
            "address_2": "SUITE 308",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061326",
            "telephone_number": "201-656-2300",
            "fax_number": "201-656-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN PRIMARY CARE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOYLAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "201-656-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA-55439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midtown Occupational Medicine, L.L.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jersey City, 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.