NPIMap

Organization Active NPI

Ringwood Medical Associates PA

  • Internal Medicine Physician
  • Ringwood, NJ
National Provider Identifier
1396742102
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MB48584 Issued in NJ
Legal business name
RINGWOOD MEDICAL ASSOCIATES PA
Practice address
52 Skyline Dr
Ringwood, NJ 07456-2020
Phone
(973) 962-6200
Fax
(973) 962-0046
NPI assigned
Jul 7, 2005
Last updated
Apr 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Authorized official

Name
Robert Mills, D.O.NPI 1861616203
Title
Physician
Phone
(973) 962-6200

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 Physician 207R00000X MB48584 NJ Primary

Addresses

Primary practice location

52 Skyline Dr
Ringwood, NJ 07456-2020

Mailing address

52 Skyline Dr
Ringwood, NJ 07456-2020
Phone (973) 962-6200

Other identifiers 3

IdentifierTypeStateIssuer
CL5898OtherNJRAILROAD MEDICARE GROUP#
8421330OtherNJAETNA PPO GROUP#
0040274OtherNJAETNA HMO GROUP#

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1396742102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 SKYLINE DR",
            "city": "RINGWOOD",
            "state": "NJ",
            "postal_code": "074562020",
            "telephone_number": "973-962-6200",
            "fax_number": "973-962-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 SKYLINE DR",
            "city": "RINGWOOD",
            "state": "NJ",
            "postal_code": "074562020",
            "telephone_number": "973-962-6200",
            "fax_number": "973-962-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RINGWOOD MEDICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "973-962-6200",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MB48584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP#",
            "identifier": "CL5898",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO GROUP#",
            "identifier": "8421330",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO GROUP#",
            "identifier": "0040274",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ringwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.

Verify at the official NPI Registry.