Organization Active NPI

Concertocare Medical Group of New Jersey PC

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1679299689
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CONCERTOCARE MEDICAL GROUP OF NEW JERSEY PC
Practice address
215 Fenway Rd
Columbus, OH 43214-1409
Phone
(313) 969-4746
NPI assigned
Oct 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Authorized official

Name
James L Hunter, MD
Title
President
Phone
(313) 969-4746

Specialties & licenses 1

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

Addresses

Primary practice location

215 Fenway Rd
Columbus, OH 43214-1409

Mailing address

PO Box 801280
Kansas City, MO 64180-1280
Phone (404) 553-3591

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL eclinicaworks.com
CONNECT URL eclinicalworks.com
CONNECT URL eclinicalworks.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1679299689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801280",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641801280",
            "telephone_number": "404-553-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 FENWAY RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141409",
            "telephone_number": "313-969-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCERTOCARE MEDICAL GROUP OF NEW JERSEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-969-4746",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "eclinicaworks.com",
            "affiliation": "N",
            "address_1": "811 Main St Fl 7",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641052005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "eclinicalworks.com",
            "affiliation": "N",
            "address_1": "811 Main St Fl 7",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641052005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "eclinicalworks.com",
            "affiliation": "N",
            "address_1": "811 Main St Fl 7",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641052005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.