Active NPI
Paladina Medical Group of New Jersey PC
- Family Medicine Physician
- Clifton, NJ
National Provider Identifier
1669995692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Hamilton, NJ
- NPI 1891217006
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Clifton, NJ
- NPI 1225473507
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.