Pulmonary & Medical Associates of Pascack Valley

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

PULMONARY & MEDICAL ASSOCIATES OF PASCACK VALLEY

Practice address

466 Old Hook Rd
Suite 26
Emerson, NJ 07630-1396

Phone

(201) 261-0821

Fax

(201) 261-0823

NPI assigned

Mar 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert G Thum, MD

Title

President

Phone

(201) 261-0821

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699734152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 OLD HOOK RD",
            "address_2": "SUITE 26",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301396",
            "telephone_number": "201-261-0821",
            "fax_number": "201-261-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 OLD HOOK RD",
            "address_2": "SUITE 26",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301396",
            "telephone_number": "201-261-0821",
            "fax_number": "201-261-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY & MEDICAL ASSOCIATES OF PASCACK VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THUM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-261-0821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3344304",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Proactive Foot and Ankle
• Professional Occupational & Physical Therapy, PLLC
• Professional Orthopedic and Sports Physical Therapy of NJ, LLC
• Professional Sports Medicine Associates
• Pt2U
• Felicia M Raju
• Jennifer Randall, MD
• Rehabilitation and Stimulation
• Richard Gariolo LLC
• Deirdre Anne Rifenburgh, D.P.T.

• All providers in Emerson, NJ
• Pulmonary Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.