Donald James Brock, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

25MA02574600 Issued in NJ

Practice address

375 Mount Pleasant Ave
West Orange, NJ 07052-2724

Phone

(973) 731-9442

Fax

(973) 731-2918

NPI assigned

Jul 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Non-Invasive Lab at St Barnabas

  • Cardiovascular Disease Physician
  • Livingston, NJ
  • NPI 1558418004
  NPD (past) Authorized official
• Ekg Interpretation Group

  • Cardiovascular Disease Physician
  • West Orange, NJ
  • NPI 1447261714
  NPD (past)
• Overlook Cardiac Testing

  • Specialist
  • Summit, NJ
  • NPI 1881741379
  NPD (past)

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241049600000",
    "number": "1659371334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 MOUNT PLEASANT AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522724",
            "telephone_number": "973-731-9442",
            "fax_number": "973-731-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 MOUNT PLEASANT AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522724",
            "telephone_number": "973-731-9442",
            "fax_number": "973-731-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "DONALD",
        "middle_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2009-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA02574600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "936308",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Jerome Brien, M.D.
• Mary Ellen Brigande Hedley, PHYSICAL THERAPIST
• Bright Horizons Occupational Therapy
• Mark Daniel Brinn, PT
• Allyson Brinson
• Roger H. Brodkin, MD
• Monifa Brooks, M.D.
• Rachael E Brothers, DO
• Melanie Antonietta Brown, M.D.
• Summer Yolonda Brown, LCSW

• Cardiovascular Disease Physician in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.