Active NPI
NJWC
- Internal Medicine Physician
- Passaic, NJ
National Provider Identifier
1548084684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- NJWC
- Practice address
- 350 Boulevard
Passaic, NJ 07055-2840 - Phone
- (201) 336-0095
- Fax
- (973) 201-0441
- NPI assigned
- Nov 14, 2024
- 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. Brandon Howard, MD
- Title
- Owner
- Phone
- (917) 864-0391
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
350 Boulevard
Passaic, NJ 07055-2840
Mailing address
PO Box 8
Mountain Lakes, NJ 07046-0008
Phone (917) 864-0391
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732320000000",
"number": "1548084684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8",
"city": "MOUNTAIN LAKES",
"state": "NJ",
"postal_code": "070460008",
"telephone_number": "917-864-0391",
"fax_number": "973-201-0441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 BOULEVARD",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070552840",
"telephone_number": "201-336-0095",
"fax_number": "973-201-0441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NJWC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-14",
"last_updated": "2024-11-23",
"certification_date": "2024-11-23",
"status": "A",
"authorized_official_last_name": "HOWARD",
"authorized_official_first_name": "BRANDON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-864-0391",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"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 Passaic, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.