Oakland Primary Care

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

PENDING Issued in NJ

Legal business name

OAKLAND PRIMARY CARE

Practice address

19 Yawpo Ave Ste 1
Oakland, NJ 07436-2739

Phone

(973) 270-6246

Fax

(201) 644-7315

NPI assigned

Oct 5, 2017

Last updated

Oct 5, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Delagente, DO

Title

Owner

Phone

(973) 270-6246

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507161600000",
    "number": "1417467325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 YAWPO AVE STE 1",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074362739",
            "telephone_number": "973-270-6246",
            "fax_number": "201-644-7315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 YAWPO AVE STE 1",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074362739",
            "telephone_number": "973-270-6246",
            "fax_number": "201-644-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-05",
        "last_updated": "2017-10-05",
        "status": "A",
        "authorized_official_last_name": "DELAGENTE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-270-6246",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENDING",
            "identifier": "PENDING",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oakland Family Dentistry PA
• Oakland Operator LLC (Oakland Rehabilitation and Healthcare Center)
• Oakland Pharmacy RX, LLC (oakland drugs)
• Oakland Physical Therapy
• Oakland Premier Dental
• Oakland Primary Care LLC
• Oakland Public Schools
• Oakland Smile Station
• Oakland Spine & Sports LLC
• Oakland Vision Center Doctors Office, LLC

• Primary Care Clinic/Center in Oakland, NJ
• Providers in Oakland, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; 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.