Organization Active NPI

Integrative Medicine of NJ PC

  • Internal Medicine Physician
  • West Orange, NJ
National Provider Identifier
1679803076
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA070109 Issued in NJ
Legal business name
INTEGRATIVE MEDICINE OF NJ PC
Practice address
101 Old Short Hills Rd Ste 214
West Orange, NJ 07052-1023
Phone
(973) 736-5300
Fax
(973) 736-5314
NPI assigned
Jan 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Authorized official

Name
Rimma L Sherman, MDNPI 1659438992
Title
Doctor/Owner
Phone
(973) 736-5300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 25MA070109 NJ Primary

Addresses

Primary practice location

101 Old Short Hills Rd Ste 214
West Orange, NJ 07052-1023

Mailing address

101 Old Short Hills Rd Ste 214
West Orange, NJ 07052-1023
Phone (973) 736-5300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100414000060 NJ Part B Supplier - Clinic/Group Practice 4789710245 Receives reassigned benefits from 1 practitioner
Practice locations: West Orange, NJ

National Provider Directory

National Provider Directory

Locations

315 E Northfield Rd
Ste 1E
Livingston, NJ 07039
Phone (973) 436-4170

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": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1679803076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 OLD SHORT HILLS RD STE 214",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521023",
            "telephone_number": "973-736-5300",
            "fax_number": "973-736-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 OLD SHORT HILLS RD STE 214",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521023",
            "telephone_number": "973-736-5300",
            "fax_number": "973-736-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE MEDICINE OF NJ PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "RIMMA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "973-736-5300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA070109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.