Individual provider Active NPI

Irving M Paltrowitz, M.D.

  • Specialist
  • Teaneck, NJ
National Provider Identifier
1598738569
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA02642400 Issued in NJ
Practice address
1086 Teaneck Rd
Suite 4C
Teaneck, NJ 07666-4854
Phone
(201) 837-9449
Fax
(201) 578-1699
NPI assigned
Feb 9, 2006
Last updated
Aug 26, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA02642400 NJ Primary

Addresses

Primary practice location

1086 Teaneck Rd
Suite 4C
Teaneck, NJ 07666-4854

Mailing address

1086 Teaneck Rd
Suite 4C
Teaneck, NJ 07666-4854
Phone (201) 837-9449

Other identifiers 3

IdentifierTypeStateIssuer
BS466OtherNJOXFORD
110046717OtherNJRAILROAD MEDICARE
546003MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111208000409 NJ Practitioner - GastroenterologyPractitioner - Internal Medicine 9133287931 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1598738569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 TEANECK RD",
            "address_2": "SUITE 4C",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664854",
            "telephone_number": "201-837-9449",
            "fax_number": "201-578-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 TEANECK RD",
            "address_2": "SUITE 4C",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664854",
            "telephone_number": "201-837-9449",
            "fax_number": "201-578-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALTROWITZ",
        "first_name": "IRVING",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA02642400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "BS466",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110046717",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "546003",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.