Organization Active NPI

Paladina Medical Group of New Jersey PC

  • Family Medicine Physician
  • Clifton, NJ
National Provider Identifier
1669995692
Registry record updated Jul 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PALADINA MEDICAL GROUP OF NEW JERSEY PC
Practice address
4 Brighton Rd Ste 208
Clifton, NJ 07012-1665
Phone
(920) 210-3725
NPI assigned
Jul 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2017

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

Authorized official

Name
Nathan Miller
Title
Implementation Manager
Phone
(920) 210-3725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4 Brighton Rd Ste 208
Clifton, NJ 07012-1665

Mailing address

1551 Wewatta St
Denver, CO 80202-6173

National Provider Directory

National Provider Directory
Tax ID family
Paladina Medical Group of New Jersey PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500595200000",
    "number": "1669995692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 WEWATTA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802026173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BRIGHTON RD STE 208",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121665",
            "telephone_number": "920-210-3725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALADINA MEDICAL GROUP OF NEW JERSEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-21",
        "last_updated": "2017-07-21",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "IMPLEMENTATION MANAGER",
        "authorized_official_telephone_number": "920-210-3725"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "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 Jul 21, 2017; 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.