Organization Active NPI

Harvey G Masor MD PA

  • Internal Medicine Physician
  • Irvington, NJ
National Provider Identifier
1699761015
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA02102900 Issued in NJ
Legal business name
HARVEY G MASOR MD PA
Practice address
739 Chancellor Ave
Irvington, NJ 07111-2953
Phone
(973) 371-5959
Fax
(973) 371-0171
NPI assigned
Sep 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Authorized official

Name
Harvey G Masor, MD
Title
MD
Phone
(973) 371-5959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 25MA02102900 NJ Primary

Addresses

Primary practice location

739 Chancellor Ave
Irvington, NJ 07111-2953

Mailing address

739 Chancellor Ave
Irvington, NJ 07111-2953
Phone (973) 371-5959

Other identifiers 1

IdentifierTypeStateIssuer
1727702MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1699761015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 CHANCELLOR AVE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071112953",
            "telephone_number": "973-371-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 CHANCELLOR AVE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071112953",
            "telephone_number": "973-371-5959",
            "fax_number": "973-371-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEY G MASOR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "MASOR",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "973-371-5959",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA02102900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1727702",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.