Organization Active NPI

Ronald a White MD

  • Colon & Rectal Surgery Physician
  • Ridgewood, NJ
National Provider Identifier
1578759239
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
MA048362 Issued in NJ
Legal business name
RONALD A WHITE MD
Practice address
127 Union St
Ridgewood, NJ 07450-4478
Phone
(201) 447-4466
NPI assigned
Sep 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Ronald A White, MD
Title
Owner
Phone
(972) 758-3595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208C00000X MA048362 NJ Primary

Addresses

Primary practice location

127 Union St
Ridgewood, NJ 07450-4478

Mailing address

216 Engle St
Englewood, NJ 07631-2444

National Provider Directory

National Provider Directory

Locations

216 Engle St
Englewood, NJ 07631
Phone (201) 567-7615

NPI Registry JSON

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1578759239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 ENGLE ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 UNION ST",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504478",
            "telephone_number": "201-447-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD A WHITE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-17",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-758-3595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "NJ",
            "license": "MA048362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.