NPIMap

Organization Active NPI

Avante Pathology, LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Denville, NJ
National Provider Identifier
1639405764
Registry record updated Apr 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
25MA04232900 Issued in NJ
Legal business name
AVANTE PATHOLOGY, LLC
Practice address
25 Pocono Rd
Saint Clares Hospital Department of Pathology
Denville, NJ 07834-2954
Phone
(973) 625-6716
Fax
(973) 983-2367
NPI assigned
Oct 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2011

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

Authorized official

Name
Dr. Jory G Magidson, MDNPI 1669449526
Title
Member
Phone
(973) 971-5612

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X 25MA04232900 NJ Primary

Addresses

Primary practice location

25 Pocono Rd
Saint Clares Hospital Department of Pathology
Denville, NJ 07834-2954

Mailing address

65 Madison Ave
Suite #220
Morristown, NJ 07960-7354
Phone (973) 538-3050

National Provider Directory

National Provider Directory

Locations

65 Madison Ave
Ste 220
Morristown, NJ 07960

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1256342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304121600000",
    "number": "1639405764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MADISON AVE",
            "address_2": "SUITE #220",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607354",
            "telephone_number": "973-538-3050",
            "fax_number": "973-538-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 POCONO RD",
            "address_2": "SAINT CLARES HOSPITAL DEPARTMENT OF PATHOLOGY",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342954",
            "telephone_number": "973-625-6716",
            "fax_number": "973-983-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANTE PATHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-24",
        "last_updated": "2011-04-30",
        "status": "A",
        "authorized_official_last_name": "MAGIDSON",
        "authorized_official_first_name": "JORY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "973-971-5612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": "25MA04232900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2011; 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.