Organization Active NPI

Mitchell J. Mutterperl Mdpa

  • Internal Medicine Physician
  • Bayonne, NJ
National Provider Identifier
1538299367
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MITCHELL J. MUTTERPERL MDPA
Practice address
19 W 33Rd St # B2
Bayonne, NJ 07002-3916
Phone
(201) 858-0090
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Authorized official

Name
Mrs. Caroljo Mutterperl
Title
Director
Phone
(201) 858-0090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

19 W 33Rd St # B2
Bayonne, NJ 07002-3916

Mailing address

19 W 33Rd St # B2
Bayonne, NJ 07002-3916

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": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1538299367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 W 33RD ST # B2",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 W 33RD ST # B2",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023916",
            "telephone_number": "201-858-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL J. MUTTERPERL MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "MUTTERPERL",
        "authorized_official_first_name": "CAROLJO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "201-858-0090",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.