Pioneer Medical, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA08517400 Issued in NJ

Legal business name

PIONEER MEDICAL, LLC

Practice address

659 1St St
Apt 207
Hoboken, NJ 07030-8832

Phone

(201) 639-4657

NPI assigned

Feb 2, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Mohammad Tehranirad, M.D.NPI 1356516082

Title

Ceo

Phone

(703) 944-6639

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohammad Tehranirad, M.D.

  • Hospitalist Physician
  • Jersey City, NJ
  • NPI 1356516082
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1588022875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 1ST ST",
            "address_2": "APT 207",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070308832",
            "telephone_number": "201-639-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 1ST ST",
            "address_2": "APT 207",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070308832",
            "telephone_number": "201-639-4657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "TEHRANIRAD",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-944-6639",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08517400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physicians Alliance LLC
• Johan A Picard, MD
• Hailey Piemonte
• Martin S Pine, M.D.
• Thomas Louis Pini, LPC, LCADC
• Kerry R Pitter, PSY.D.
• Charissa D Pizarro, PSY. D
• Planet Wellness
• Raul Antonio Plasencia, LCSW
• Plastic Surgery Practice of Hoboken PC

• Internal Medicine Physician in Hoboken, NJ
• Providers in Hoboken, 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 Feb 2, 2016; 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.