Pemberton M.D P.C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PEMBERTON M.D P.C

Practice address

500 Orange St
Newark, NJ 07107-2944

Phone

(973) 844-3188

NPI assigned

May 11, 2017

Last updated

May 11, 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

Colin A Pemberton, M.DNPI 1891935557

Title

/Owner

Phone

(973) 844-3188

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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.

• Colin A, Pemberton, M.D.

  • Internal Medicine Physician
  • Newark, NJ
  • NPI 1891935557
  Authorized official Same address or phone
• Sucheta M Nasta, M. D.

  • Family Medicine Physician
  • East Orange, NJ
  • NPI 1760589337
  NPD (past)

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1437686219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ORANGE ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071072944",
            "telephone_number": "973-844-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ORANGE ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071072944",
            "telephone_number": "973-844-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEMBERTON M.D P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "PEMBERTON",
        "authorized_official_first_name": "COLIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "/OWNER",
        "authorized_official_telephone_number": "973-844-3188",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0198323",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peers Understanding Strategies for Healing & Help (PUSH (Peers Understanding Strategies for Healing & Healing))
• Idalissie Altagracia Peguero, APN, PMHNPBC
• Stephanie Peguero, RN
• Mingzhuo Pei
• Daniel Peikes, DMD
• Clyde A. Pemberton, M.D.
• Colin A, Pemberton, M.D.
• Velma Opal Pemberton, APN
• Edwin Antonio Pena, MD
• Evelyn Pena, RD

• Internal Medicine Physician in Newark, NJ
• Providers in Newark, 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 May 11, 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.