Comprehensive Medical Center LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NN09682500 Issued in NJ

Legal business name

COMPREHENSIVE MEDICAL CENTER LLC

Practice address

1200 Clinton Ave
Suite 140
Irvington, NJ 07111-2070

Phone

(973) 374-1080

Fax

(973) 373-1726

NPI assigned

Dec 3, 2014

Organization subpart

No

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

Authorized official

Name

Sonya GoodrichNPI 1053528356

Title

Biller

Phone

(973) 374-1080

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sonya L Goodrich, NP

  • Adult Health Nurse Practitioner
  • Irvington, NJ
  • NPI 1053528356
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458691200000",
    "number": "1689071722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CLINTON AVE",
            "address_2": "SUITE 140",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071112070",
            "telephone_number": "973-374-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CLINTON AVE",
            "address_2": "SUITE 140",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071112070",
            "telephone_number": "973-374-1080",
            "fax_number": "973-373-1726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-03",
        "last_updated": "2016-03-23",
        "status": "A",
        "authorized_official_last_name": "GOODRICH",
        "authorized_official_first_name": "SONYA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "973-374-1080"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NN09682500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comfort Behavioral Health Care LLC
• Comfort Zone Healthcare Inc
• Comfort Zone Healthcare Inc
• Community Assist Services
• Yademine Compere, LPN
• Yolanda Compton-Hamilton, LPC
• Edwin M. Constantino, MD
• Jamillah Copeland
• Georgianna Cornelius
• Shakyrrah Covington

• Adult Health Nurse Practitioner in Irvington, NJ
• Providers in Irvington, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.