Simon B Santos Medical Group LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA34521 Issued in NJ

Legal business name

SIMON B SANTOS MEDICAL GROUP LLC

Practice address

410 36TH St
Union City, NJ 07087-4712

Phone

(201) 863-7744

Fax

(201) 863-7608

NPI assigned

Jun 23, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Simon B Santos, M.D

Title

President

Phone

(201) 863-7744

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219622400000",
    "number": "1619138625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 36TH ST",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070874712",
            "telephone_number": "201-863-7744",
            "fax_number": "201-863-7608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 36TH ST",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070874712",
            "telephone_number": "201-863-7744",
            "fax_number": "201-863-7608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON B SANTOS MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2008-08-25",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "SIMON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-863-7744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA34521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Union City, NJ
• Providers in Union City, 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 Aug 25, 2008; 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.