Midland Medical Associates, LLC

Primary specialty

Ph.D. Medical GeneticsTaxonomy code 170100000X

License

25MA05783300 Issued in NJ

Legal business name

MIDLAND MEDICAL ASSOCIATES, LLC

Practice address

2726 Kennedy Boulevard
Jersey City, NJ 07306-5508

Phone

(201) 333-4115

Fax

(201) 333-6224

NPI assigned

Nov 7, 2006

Last updated

Jul 14, 2010By 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

Dr. Victor Lee Cabales, M.D.NPI 1043317753

Title

Physician

Phone

(201) 333-4115

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.

• Victor L. Cabales, MD

  • Internal Medicine Physician
  • Jersey City, NJ
  • NPI 1043317753
  Medicare reassignment Care Compare group NPD Authorized official
• Arthur L Cabales, M.D.

  • Internal Medicine Physician
  • Jersey City, NJ
  • NPI 1407859705
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1619046018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2726 KENNEDY BOULEVARD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065508",
            "telephone_number": "201-333-4115",
            "fax_number": "201-333-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2726 KENNEDY BOULEVARD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065508",
            "telephone_number": "201-333-4115",
            "fax_number": "201-333-6224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLAND MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2010-07-14",
        "status": "A",
        "authorized_official_last_name": "CABALES",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "201-333-4115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "NJ",
            "license": "25MA05783300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ph.D. Medical Genetics in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Ph.D. Medical Genetics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; 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.