Active NPI
Physicians Health Alliance PA
- Cardiovascular Disease Physician
- Wayne, NJ
National Provider Identifier
1528047842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- PHYSICIANS HEALTH ALLIANCE PA
- Practice address
- 1777 Hamburg Tpke
Wayne, NJ 07470-5211 - Phone
- (973) 835-6300
- Fax
- (973) 835-3761
- NPI assigned
- Jan 13, 2006
- Last updated
- Jan 21, 2009
- 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. Michael R. Dara, MD
- Title
- Secretary/Treasurer
- Phone
- (973) 835-6300
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
1777 Hamburg Tpke
Wayne, NJ 07470-5211
Mailing address
1777 Hamburg Tpke
Suite 102
Wayne, NJ 07470-5211
Phone (973) 831-7455
National Provider Directory
National Provider DirectoryLocations
1777 Hamburg Tpke
Ste 205
Wayne, NJ 07470
Phone (973) 248-1440
2025 Hamburg Tpke
Ste P
Wayne, NJ 07470
Phone (973) 839-5070
Practitioners & affiliated clinicians
Practitioners 18
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.
-
- Internal Medicine Physician
- Wayne, NJ
- NPI 1881668325
-
- Internal Medicine Physician
- Wayne, NJ
- NPI 1881657328
-
- Rheumatology Physician
- Pompton Plains, NJ
- NPI 1790778405
-
- Internal Medicine Physician
- Pompton Lakes, NJ
- NPI 1447223201
-
- Internal Medicine Physician
- Wayne, NJ
- NPI 1831199645
-
- Internal Medicine Physician
- Fair Lawn, NJ
- NPI 1215085360
-
- Adult Health Nurse Practitioner
- Oakland, NJ
- NPI 1720421001
-
- Adult Health Nurse Practitioner
- Hasbrouck Heights, NJ
- NPI 1053555227
-
- Adult Health Nurse Practitioner
- Wayne, NJ
- NPI 1275764623
-
- Dermatology Physician
- Wayne, NJ
- NPI 1306800156
-
- Internal Medicine Physician
- Haskell, NJ
- NPI 1659366904
-
- Cardiovascular Disease Physician
- Wayne, NJ
- NPI 1679536684
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1232496000000",
"number": "1528047842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1777 HAMBURG TPKE",
"address_2": "SUITE 102",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074705211",
"telephone_number": "973-831-7455",
"fax_number": "973-835-3761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1777 HAMBURG TPKE",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074705211",
"telephone_number": "973-835-6300",
"fax_number": "973-835-3761"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIANS HEALTH ALLIANCE PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-13",
"last_updated": "2009-01-21",
"status": "A",
"authorized_official_last_name": "DARA",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "SECRETARY/TREASURER",
"authorized_official_telephone_number": "973-835-6300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.