NPIMap

Organization Active NPI

Patient Immediate Care PC

  • Family Medicine Physician
  • Mahwah, NJ
National Provider Identifier
1437489200
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA08378200 Issued in NJ
Legal business name
PATIENT IMMEDIATE CARE PC
Practice address
384 Poets Way
Mahwah, NJ 07430-2082
Phone
(973) 994-3880
NPI assigned
Dec 30, 2009
Last updated
Dec 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2009

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

Authorized official

Name
Chris Berberian
Title
Ceo
Phone
(973) 994-3880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 25MA08378200 NJ Primary

Addresses

Primary practice location

384 Poets Way
Mahwah, NJ 07430-2082

Mailing address

384 Poets Way
Mahwah, NJ 07430-2082

National Provider Directory

National Provider Directory

Locations

130A W Pleasant Ave
Maywood, NJ 07607
Phone (201) 501-8500

Practitioners & affiliated clinicians

Practitioners 4

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": "1262131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262131200000",
    "number": "1437489200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 POETS WAY",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074302082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 POETS WAY",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074302082",
            "telephone_number": "973-994-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT IMMEDIATE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-30",
        "last_updated": "2009-12-30",
        "status": "A",
        "authorized_official_last_name": "BERBERIAN",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-994-3880"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA08378200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahwah, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; 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.