Meadowlands Emergency Group Professional Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MB07566200 Issued in NJ

Legal business name

MEADOWLANDS EMERGENCY GROUP PROFESSIONAL CORPORATION

Practice address

55 Meadowlands Pkwy
Secaucus, NJ 07094-2977

Phone

(201) 392-3210

NPI assigned

Nov 18, 2013

Last updated

Apr 9, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roman N Kosiborod, D.O.NPI 1831192079

Title

Anesthesiology

Phone

(626) 447-0296

Specialties & licenses 1

Addresses

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.

• Roman N Kosiborod, D.O.

  • Specialist
  • Fair Lawn, NJ
  • NPI 1831192079
  NPD (past) Authorized official
• Kruti McDonald, PA

  • Physician Assistant
  • Morristown, NJ
  • NPI 1902075294
  NPD (past)

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1699105379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 826431",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191826431",
            "telephone_number": "201-392-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MEADOWLANDS PKWY",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942977",
            "telephone_number": "201-392-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWLANDS EMERGENCY GROUP PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "KOSIBOROD",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ANESTHESIOLOGY",
        "authorized_official_telephone_number": "626-447-0296",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MB07566200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly McArthur
• Meadowland Center for Counseling and Psychotherapy
• Meadowlands Cancer Center, LLC
• Meadowlands Cardiology PC
• Meadowlands Emergency Department Services
• Meadowlands Emergency Medical Associates LLC
• Meadowlands Pediatric Hospitalists, LLC
• Meadowlands Pharmacy LLC (Quik Drugs)
• Meadowlands Physicians Professional Association
• Yanelle Mariah Medina

• Specialist in Secaucus, NJ
• Providers in Secaucus, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.