NPIMap

Organization Active NPI

NJ Independent Internal Medicine

  • Primary Care Clinic/Center
  • Clifton, NJ
National Provider Identifier
1629499314
Registry record updated Dec 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
25MA08709600 Issued in NJ
Legal business name
NJ INDEPENDENT INTERNAL MEDICINE
Practice address
1300 Main Ave
2A
Clifton, NJ 07011-2266
Phone
(973) 340-0160
Fax
(201) 270-5112
NPI assigned
Dec 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2013

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

Authorized official

Name
Reyhan Berkel, MDNPI 1265630180
Title
President
Phone
(517) 303-3120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 25MA08709600 NJ Primary

Addresses

Primary practice location

1300 Main Ave
2A
Clifton, NJ 07011-2266

Mailing address

1300 Main Ave
2A
Clifton, NJ 07011-2266
Phone (973) 340-0160

Other names 1

  • BerkelMD Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Berkelmd2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1387756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387756800000",
    "number": "1629499314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 MAIN AVE",
            "address_2": "2A",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112266",
            "telephone_number": "973-340-0160",
            "fax_number": "201-270-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MAIN AVE",
            "address_2": "2A",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112266",
            "telephone_number": "973-340-0160",
            "fax_number": "201-270-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ INDEPENDENT INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-23",
        "last_updated": "2013-12-23",
        "status": "A",
        "authorized_official_last_name": "BERKEL",
        "authorized_official_first_name": "REYHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-303-3120",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "25MA08709600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BerkelMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; 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.