Mitchell S Turner MD PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MA55724 Issued in NJ

Legal business name

MITCHELL S TURNER MD PA

Practice address

1945 Morris Ave
Union, NJ 07083-3526

Phone

(908) 688-7546

Fax

(908) 688-8894

NPI assigned

Apr 13, 2007

Organization subpart

No

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

Authorized official

Name

Mitchell S Turner, MD

Title

Owner

Phone

(908) 688-7546

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669696274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 MORRIS AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833526",
            "telephone_number": "908-688-7546",
            "fax_number": "908-688-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 MORRIS AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833526",
            "telephone_number": "908-688-7546",
            "fax_number": "908-688-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL S TURNER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-688-7546",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "MA55724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5183308",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Union, NJ
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.