Wellcomecare Physician Group PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA08742300 Issued in NJ

Legal business name

WELLCOMECARE PHYSICIAN GROUP PC

Practice address

210 Passaic St
Garfield, NJ 07026

Phone

(973) 773-3800

NPI assigned

Sep 7, 2011

Organization subpart

No

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

Authorized official

Name

Dr. John Anastasi, M.D.

Title

Partner/ Medical Director

Phone

(973) 773-3800

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1407137292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1373 BROAD ST",
            "address_2": "SUITE 200",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070134200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 PASSAIC ST",
            "city": "GARFIELD",
            "state": "NJ",
            "postal_code": "07026",
            "telephone_number": "973-773-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCOMECARE PHYSICIAN GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-07",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "ANASTASI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PARTNER/ MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "973-773-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA08742300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "217130YEMN",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Violeta Zileska

• All providers in Garfield, NJ
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.