Active NPI
James Pruden, MD
- Emergency Medical Services (Emergency Medicine) Physician
- Paterson, NJ
National Provider Identifier
1689680878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- MA040731
- Practice address
- 703 Main St
ER Dept
Paterson, NJ 07503 - Phone
- (973) 754-2000
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | MA040731 | NJ | Primary |
Addresses
Primary practice location
703 Main St
ER Dept
Paterson, NJ 07503
Mailing address
PO Box 51003
Newark, NJ 07101
Phone (866) 687-1790
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8778001 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA040731 | NJ | MD | Emergency Medical Services (Emergency Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194048000000",
"number": "1689680878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 51003",
"city": "NEWARK",
"state": "NJ",
"postal_code": "07101",
"telephone_number": "866-687-1790",
"fax_number": "616-975-9827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 MAIN ST",
"address_2": "ER DEPT",
"city": "PATERSON",
"state": "NJ",
"postal_code": "07503",
"telephone_number": "973-754-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUDEN",
"first_name": "JAMES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2007-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "NJ",
"license": "MA040731",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8778001",
"state": "NJ"
}
],
"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 Nov 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.