Advanced Rheumatology of NJ

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

ADVANCED RHEUMATOLOGY OF NJ

Practice address

3196 Kennedy Blvd
Union City, NJ 07087-2436

Phone

(201) 837-7788

NPI assigned

Jul 10, 2020

Organization subpart

Yes

Parent organization

RHEUMATOLOGY ASSOCIATES OF NORTH JERSEYAs reported in NPPES

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

Authorized official

Name

Neil Gonter, MD

Title

Coo

Phone

(201) 837-7788

Specialties & licenses 1

Addresses

Part of

Rheumatology Assoc Nort

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594339200000",
    "number": "1487272043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 QUEEN ANNE RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663521",
            "telephone_number": "201-837-7788",
            "fax_number": "201-837-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3196 KENNEDY BLVD",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070872436",
            "telephone_number": "201-837-7788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 Queen Anne Rd",
            "address_purpose": "LOCATION",
            "city": "Teaneck",
            "state": "NJ",
            "postal_code": "076663521",
            "country_code": "US",
            "telephone_number": "201-837-7788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED RHEUMATOLOGY OF NJ",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RHEUMATOLOGY ASSOCIATES OF NORTH JERSEY",
        "enumeration_date": "2020-07-10",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A",
        "authorized_official_last_name": "GONTER",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "201-837-7788",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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.