Organization Active NPI

Louis V Sangosse, MD PA

  • Internal Medicine Physician
  • West Orange, NJ
National Provider Identifier
1578802385
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LOUIS V 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
Last updated
Feb 14, 2013By the provider in NPPES
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
Louis V Sangosse, MDNPI 1487694964
Title
President
Phone
(973) 731-0200

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary
Pulmonary Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RP1001X

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130315000033 NJ Part B Supplier - Clinic/Group Practice 9739324096 Receives reassigned benefits from 2 practitioners
Practice locations: West Orange, NJ

National Provider Directory

National Provider Directory

Locations

81 Northfield Ave
Ste 204
West Orange, NJ 07052
Phone (973) 325-2000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1578802385",
    "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": "LOUIS V 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": "LOUIS",
        "authorized_official_middle_name": "V",
        "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": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.