Active NPI
Paterson Emergency Physicians PC
- Emergency Medicine Physician
- Paterson, NJ
National Provider Identifier
1609817329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- PATERSON EMERGENCY PHYSICIANS PC
- Practice address
- 680 Broadway
Paterson, NJ 07514-1422 - Phone
- (973) 977-6603
- NPI assigned
- Jun 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gerald A Neri, MD
- Title
- President
- Phone
- (845) 565-3700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
680 Broadway
Paterson, NJ 07514-1422
Mailing address
484 Temple Hill Rd
Ste 104
New Windsor, NY 12553-5557
Phone (845) 565-3700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7852801 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193616000000",
"number": "1609817329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "484 TEMPLE HILL RD",
"address_2": "STE 104",
"city": "NEW WINDSOR",
"state": "NY",
"postal_code": "125535557",
"telephone_number": "845-565-3700",
"fax_number": "845-565-3395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 BROADWAY",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075141422",
"telephone_number": "973-977-6603"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATERSON EMERGENCY PHYSICIANS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-10",
"last_updated": "2007-10-29",
"status": "A",
"authorized_official_last_name": "NERI",
"authorized_official_first_name": "GERALD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "845-565-3700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7852801",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paterson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.