Active NPI
North Jersey Rheumatology Center, PA
- Rheumatology Physician
- Westfield, NJ
National Provider Identifier
1497865422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- MA057389
- Legal business name
- NORTH JERSEY RHEUMATOLOGY CENTER, PA
- Practice address
- 577 Westfield Ave
Westfield, NJ 07090-3373 - Phone
- (908) 233-9111
- Fax
- (908) 233-9920
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Manuela G Pedra-Nobre, M.D.
- Title
- President
- Phone
- (908) 233-9111
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | MA057389 | NJ | Primary |
Addresses
Primary practice location
577 Westfield Ave
Westfield, NJ 07090-3373
Mailing address
PO Box 4606
North Jersey Rheumatology Center, PA
Warren, NJ 07059
Phone (908) 233-9111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA057389 | Other | NJ | LIC # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Rheumatology Physician
- Westfield, NJ
- NPI 1912939844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305158400000",
"number": "1497865422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4606",
"address_2": "NORTH JERSEY RHEUMATOLOGY CENTER, PA",
"city": "WARREN",
"state": "NJ",
"postal_code": "07059",
"telephone_number": "908-233-9111",
"fax_number": "908-233-9920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "577 WESTFIELD AVE",
"city": "WESTFIELD",
"state": "NJ",
"postal_code": "070903373",
"telephone_number": "908-233-9111",
"fax_number": "908-233-9920"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH JERSEY RHEUMATOLOGY CENTER, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2011-05-12",
"status": "A",
"authorized_official_last_name": "PEDRA-NOBRE",
"authorized_official_first_name": "MANUELA",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "908-233-9111",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": "NJ",
"license": "MA057389",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIC #",
"identifier": "MA057389",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.