The Gout Institute of America at Belleville, PC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

25MB05752300 Issued in NJ

Legal business name

THE GOUT INSTITUTE OF AMERICA AT BELLEVILLE, PC

Practice address

727 Joralemon St
Belleville, NJ 07109-1455

Phone

(973) 751-2060

Fax

(973) 751-2291

NPI assigned

Jun 8, 2018

Organization subpart

No

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

Authorized official

Name

Antonio Ciccone, DO

Title

Medical Director

Phone

(973) 751-2060

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Cozzarelli, DPM

  • Foot & Ankle Surgery Podiatrist
  • Belleville, NJ
  • NPI 1699889535
  NPD (past)

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528416000000",
    "number": "1477046092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 JORALEMON ST",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091455",
            "telephone_number": "973-751-2060",
            "fax_number": "973-751-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 JORALEMON ST",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091455",
            "telephone_number": "973-751-2060",
            "fax_number": "973-751-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GOUT INSTITUTE OF AMERICA AT BELLEVILLE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-08",
        "last_updated": "2018-06-08",
        "status": "A",
        "authorized_official_last_name": "CICCONE",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "973-751-2060",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NJ",
            "license": "25MB05752300",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice A Tawfiq, CRNA
• Tech Medical Service
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• The Chiropractic & Physical Therapy Center of NJ PC
• The Smile Station LLC
• The Walker Assist LLC
• Therapy for Children
• Timeless Mobile Phlebotomy Solutions
• Virginia Tina

• Pain Medicine Physician in Belleville, NJ
• Providers in Belleville, NJ by specialty
• Pain Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; 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.