Lodi Medical Center

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MA42726 Issued in NJ

Legal business name

LODI MEDICAL CENTER

Practice address

999 Clifton Ave
Clifton, NJ 07013-2711

Phone

(973) 777-7879

Fax

(973) 777-6738

NPI assigned

Jul 15, 2006

Organization subpart

No

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

Authorized official

Name

William J Focazio, MD PA

Title

President

Phone

(973) 777-3130

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396761979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HUNTER ST",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076441608",
            "telephone_number": "973-777-3130",
            "fax_number": "973-777-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132711",
            "telephone_number": "973-777-7879",
            "fax_number": "973-777-6738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LODI MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOCAZIO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-777-3130",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "MA42726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darlene Llaban, OTR
• Florencio Vinalon Llacuna Jr., MD
• Janine Llamzon
• Jennifer Ann Llewellyn, RD,CDE
• Shari-Kristin Lo-Rhoden, PSYD
• Ana Lopez, SPED
• Emanuel Lopez, APN
• Marco Antonio Lopez, D.C.
• Melissa Andrea Lopez, MSW, LSW
• Elizabeth Los

• Gastroenterology Physician in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Gastroenterology Physician in New Jersey

• 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.