Organization Active NPI

Comprehensive Medical Therapeutics, P.C.

  • Specialist
  • Clifton, NJ
National Provider Identifier
1639591357
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25 MA0775000 Issued in NJ
Legal business name
COMPREHENSIVE MEDICAL THERAPEUTICS, P.C.
Practice address
1360 Clifton Ave # 275
Clifton, NJ 07012-1343
Phone
(973) 253-7737
Fax
(973) 253-0213
NPI assigned
Jan 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Authorized official

Name
Mr. Robert S. Mandell
Title
Vice President/Treasurer
Phone
(973) 253-7737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 25 MA0775000 NJ Primary

Addresses

Primary practice location

1360 Clifton Ave # 275
Clifton, NJ 07012-1343

Mailing address

1360 Clifton Ave # 275
Clifton, NJ 07012-1343
Phone (973) 253-7737

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1639591357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 CLIFTON AVE # 275",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121343",
            "telephone_number": "973-253-7737",
            "fax_number": "973-253-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 CLIFTON AVE # 275",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121343",
            "telephone_number": "973-253-7737",
            "fax_number": "973-253-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE MEDICAL THERAPEUTICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "MANDELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "VICE PRESIDENT/TREASURER",
        "authorized_official_telephone_number": "973-253-7737",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25 MA0775000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 15, 2014; 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.