Organization Active NPI

Restorx

  • General Practice Physician
  • Englewood, NJ
National Provider Identifier
1528342458
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MAO65093 Issued in NJ
Legal business name
RESTORX
Practice address
420 Valley View Rd
Englewood, NJ 07631-1621
Phone
(917) 734-1558
NPI assigned
Oct 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Authorized official

Name
Dr. Avraham J Schreiber, M.D.NPI 1083633820
Title
Founder
Phone
(917) 734-1558

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X MAO65093 NJ Primary

Addresses

Primary practice location

420 Valley View Rd
Englewood, NJ 07631-1621

Mailing address

420 Valley View Rd
Englewood, NJ 07631-1621
Phone (917) 734-1558

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1528342458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 VALLEY VIEW RD",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311621",
            "telephone_number": "917-734-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 VALLEY VIEW RD",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311621",
            "telephone_number": "917-734-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORX",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-11",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "SCHREIBER",
        "authorized_official_first_name": "AVRAHAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "917-734-1558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "NJ",
            "license": "MAO65093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.