Plaza West Diagnostic & Treatment Center

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

32407 Issued in NJ

Legal business name

PLAZA WEST DIAGNOSTIC & TREATMENT CENTER

Doing business as

Diagnostic & Treatment Center

Practice address

1475 Bergen Blvd
Fort Lee, NJ 07024-2176

Phone

(201) 585-8105

Fax

(201) 585-9862

NPI assigned

May 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Michael G. Vincent, MD

Title

Physician/Owner/Administrator

Phone

(201) 585-8105

Specialties & licenses 1

Addresses

Other names 1

• Diagnostic & Treatment Center Doing business as

Locations

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1477710317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 BERGEN BLVD",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070242176",
            "telephone_number": "201-585-8105",
            "fax_number": "201-585-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 BERGEN BLVD",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070242176",
            "telephone_number": "201-585-8105",
            "fax_number": "201-585-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA WEST DIAGNOSTIC & TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "201-585-8105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NJ",
            "license": "32407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diagnostic & Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pine Acupuncture & Herbal Medicine Clinic
• Corrine Pineda, OTR/L
• Peter Joseph Pinto, MD
• Craig S Piper, MD
• PL PMR Medical PC
• Aridia Maria Polanco, PCD(DONA)
• Norman David Polansky, PHD
• Suri Babu Ponamgi, MD
• David A. Porcaro, D.C.
• Michael Post, P.T.

• Urgent Care Clinic/Center in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Urgent Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.