Organization Active NPI

Regional Physician Services, NJ, PC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1396736864
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
REGIONAL PHYSICIAN SERVICES, NJ, PC
Practice address
45 Main St
Suite 408
Brooklyn, NY 11201-1000
Phone
(866) 662-4560
Fax
(877) 279-9425
NPI assigned
Nov 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Authorized official

Name
Dr. Marcia Naveh, M.D.
Title
Medical Director
Phone
(347) 328-0312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

45 Main St
Suite 408
Brooklyn, NY 11201-1000

Mailing address

Park 80 West, Plaza II
Suite 200, #2061
Saddle Brook, NJ 07663-5836
Phone (866) 662-4560

Other identifiers 1

IdentifierTypeStateIssuer
8717401MedicaidNJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1396736864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PARK 80 WEST, PLAZA II",
            "address_2": "SUITE 200, #2061",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635836",
            "telephone_number": "866-662-4560",
            "fax_number": "877-279-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MAIN ST",
            "address_2": "SUITE 408",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011000",
            "telephone_number": "866-662-4560",
            "fax_number": "877-279-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL PHYSICIAN SERVICES, NJ, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "NAVEH",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "347-328-0312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "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": "8717401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.