Organization Active NPI

Nicholas a. Cannarozzi, M.D., P.a.

  • Rheumatology Physician
  • Montclair, NJ
National Provider Identifier
1639418981
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
NICHOLAS A. CANNAROZZI, M.D., P.A.
Practice address
127 Pine St
Montclair, NJ 07042-4855
Phone
(973) 783-6000
Fax
(973) 783-0020
NPI assigned
Feb 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Authorized official

Name
Dr. Nicholas A Cannarozzi, M.D.
Title
President/Physician
Phone
(973) 783-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

127 Pine St
Montclair, NJ 07042-4855

Mailing address

127 Pine St
Montclair, NJ 07042-4855
Phone (973) 783-6000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360108800000",
    "number": "1639418981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 PINE ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424855",
            "telephone_number": "973-783-6000",
            "fax_number": "973-783-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 PINE ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424855",
            "telephone_number": "973-783-6000",
            "fax_number": "973-783-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS A. CANNAROZZI, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-02-06",
        "status": "A",
        "authorized_official_last_name": "CANNAROZZI",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "973-783-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.