Medical Board Prep Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA06042000 Issued in NJ

Legal business name

MEDICAL BOARD PREP INC

Practice address

5 Franklin Ave Ste 505
Belleville, NJ 07109-3566

Phone

(973) 751-4477

NPI assigned

Mar 11, 2011

Last updated

Mar 11, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John A Cerritelli, MDNPI 1437240553

Title

Owner

Phone

(973) 751-4477

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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.

• John A Cerritelli, MD DSC

  • Internal Medicine Physician
  • Belleville, NJ
  • NPI 1437240553
  Medicare reassignment NPD Authorized official
• Hong Sik Pak, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Fort Lee, NJ
  • NPI 1427077056
  Medicare reassignment

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1578861787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 FRANKLIN AVE STE 505",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 FRANKLIN AVE STE 505",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093566",
            "telephone_number": "973-751-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL BOARD PREP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-11",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "CERRITELLI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-751-4477",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06042000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alvin L Medina, PT
• Robyn Meglio, MD
• Ishani Mehta
• Jyoti Mehta, OTR CHT
• Michael J Mellace, RPH

• Internal Medicine Physician in Belleville, NJ
• Providers in Belleville, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; 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.