Organization Active NPI

Marie Sangosse MD PA

  • Internal Medicine Physician
  • West Orange, NJ
National Provider Identifier
1538408356
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA04902900 Issued in NJ
Legal business name
MARIE SANGOSSE MD PA
Practice address
745 Northfield Ave
Suite #7
West Orange, NJ 07052-1144
Phone
(973) 731-0200
Fax
(973) 325-2244
NPI assigned
Feb 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2013

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

Authorized official

Name
Marie Sangosse, MD
Title
President
Phone
(973) 731-0200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 25MA04902900 NJ Primary
Hematology & Oncology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RH0003X 25MA04902900 NJ

Addresses

Primary practice location

745 Northfield Ave
Suite #7
West Orange, NJ 07052-1144

Mailing address

745 Northfield Ave
Suite #7
West Orange, NJ 07052-1144
Phone (973) 731-0200

National Provider Directory

National Provider Directory

Locations

106 Valley St
Fl 1
South Orange, NJ 07079
Phone (973) 313-9300

NPI Registry JSON

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360800000000",
    "number": "1538408356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 NORTHFIELD AVE",
            "address_2": "SUITE #7",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521144",
            "telephone_number": "973-731-0200",
            "fax_number": "973-325-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 NORTHFIELD AVE",
            "address_2": "SUITE #7",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521144",
            "telephone_number": "973-731-0200",
            "fax_number": "973-325-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE SANGOSSE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-14",
        "last_updated": "2013-02-14",
        "status": "A",
        "authorized_official_last_name": "SANGOSSE",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-731-0200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04902900",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MA04902900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.