Route 53 Medical Associates, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MB55987 Issued in NJ

Legal business name

ROUTE 53 MEDICAL ASSOCIATES, LLC

Practice address

891 Tabor Rd
Morris Plains, NJ 07950-2733

Phone

(973) 359-8859

NPI assigned

Sep 16, 2008

Last updated

Sep 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anna Maria Cervone

Title

Office Manager

Phone

(973) 359-8859

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 2

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.

• Maurizio Cervone, D.O.

  • Family Medicine Physician
  • Morris Plains, NJ
  • NPI 1174653331
  Medicare reassignment NPD
• Dara Ashley Cooper, FNP-BC

  • Family Nurse Practitioner
  • Morris Plains, NJ
  • NPI 1255769584
  Medicare reassignment NPD

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1649429416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 TABOR RD",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079502733",
            "telephone_number": "973-359-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 TABOR RD",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079502733",
            "telephone_number": "973-359-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUTE 53 MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-16",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "CERVONE",
        "authorized_official_first_name": "ANNA MARIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "973-359-8859"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB55987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Rodgers, M.A., BCBA
• Rol Ambulance LLC
• Elizabeth A Rosen, PHD
• Mitchell L Rosenthal I, ATC
• Richard C Rosenthal, RPH
• Route 53 Medical Family Practice Associates, P.a.
• Stephanie Rovelli
• Patricia Russo, OT
• S2 & D2 PT LLC
• Gina Marie Sabatino, LPC

• Family Medicine Physician in Morris Plains, NJ
• Providers in Morris Plains, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.