Active NPI
Concertocare Medical Group of New Jersey PC
- Family Medicine Physician
- Columbus, OH
National Provider Identifier
1679299689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | eclinicaworks.com | ||
| CONNECT URL | eclinicalworks.com | ||
| CONNECT URL | eclinicalworks.com |
National Provider Directory
National Provider DirectoryNPI 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.