FJPL East Orange PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA08818300 Issued in NJ

Legal business name

FJPL EAST ORANGE PC

Practice address

276 Prospect St
East Orange, NJ 07017-2889

Phone

(973) 000-0000

Fax

(862) 904-0044

NPI assigned

Oct 10, 2017

Last updated

Jul 29, 2025By 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

Mr. HR Manager

Title

Manager

Phone

(973) 000-0000

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1598275141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SQUIRE HILL RD",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070432516",
            "telephone_number": "973-370-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 PROSPECT ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070172889",
            "telephone_number": "973-000-0000",
            "fax_number": "862-904-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FJPL EAST ORANGE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "MANAGER",
        "authorized_official_first_name": "HR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "973-000-0000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08818300",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "25MA08818300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0263273",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in East Orange, NJ
• Providers in East Orange, 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 Jul 29, 2025; 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.