Organization Active NPI

Medical Concepts LLC

  • Hematology & Oncology Physician
  • Paterson, NJ
National Provider Identifier
1679702203
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
MEDICAL CONCEPTS LLC
Practice address
680 Broadway
Paterson, NJ 07514-1422
Phone
(973) 773-2039
NPI assigned
Jul 2, 2009
Last updated
Apr 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Authorized official

Name
Peyman Maghsoudlou
Title
Manager
Phone
(973) 773-2039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X Primary

Addresses

Primary practice location

680 Broadway
Paterson, NJ 07514-1422

Mailing address

PO Box 4181
Clifton, NJ 07012-8181
Phone (973) 773-2039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111219000408 NJ Part B Supplier - Clinic/Group Practice 8729253851 Receives reassigned benefits from 1 practitioner
Practice locations: Patterson, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1679702203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4181",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070128181",
            "telephone_number": "973-773-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141422",
            "telephone_number": "973-773-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CONCEPTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-02",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "MAGHSOUDLOU",
        "authorized_official_first_name": "PEYMAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "973-773-2039"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.