Old Hook Medical Associates, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

1092980 Issued in NJ

Legal business name

OLD HOOK MEDICAL ASSOCIATES, LLC

Practice address

452 Old Hook Rd
2ND Floor
Emerson, NJ 07630-1381

Phone

(201) 666-3900

Fax

(201) 261-0505

NPI assigned

Jun 9, 2006

Last updated

Sep 10, 2014By 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

Mrs. Maria Montecillo

Title

Credentialing Manager

Phone

(201) 666-3900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Old Hook Medical Associates, LLC

  dba Old Hook Medical Associates Surgicenter

  • Ambulatory Surgical Clinic/Center
  • Emerson, NJ
  • NPI 1720014830
  NPPES parent name

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1417998303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 OLD HOOK RD",
            "address_2": "2ND FLOOR",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301381",
            "telephone_number": "201-666-3900",
            "fax_number": "201-261-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 OLD HOOK RD",
            "address_2": "2ND FLOOR",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301381",
            "telephone_number": "201-666-3900",
            "fax_number": "201-261-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD HOOK MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "MONTECILLO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "201-666-3900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "1092980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "CG1156",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Concepts for Living
• New Concepts for Living
• New York Gastroenterology & Digestive Disorders PC
• Mekola Nodjanosh
• Old Hook Medical Associates, LLC (Old Hook Medical Associates)
• Old Hook Medical Associates, LLC (Old Hook Medical Associates Surgicenter)
• Old Hook Podiatry Assoc PC
• Kathe Olohan, RN APN
• Orthpaedic & Sports Medicine Associates,P.a.
• Pascack Valley Dental Practice

• Internal Medicine Physician in Emerson, NJ
• Providers in Emerson, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.