North Jersey Medical Assoc, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA03341200 Issued in NJ

Legal business name

NORTH JERSEY MEDICAL ASSOC, LLC

Practice address

330 Ratzer Rd
Ste 13
Wayne, NJ 07470-7702

Phone

(973) 694-0000

Fax

(973) 694-5184

NPI assigned

Sep 29, 2009

Last updated

Oct 8, 2009By 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

Leonard T Nicosia, M.D.NPI 1841246394

Title

Managing Partner

Phone

(973) 694-2222

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.

• Leonard T Nicosia, M.D.

  • Obstetrics & Gynecology Physician
  • Wayne, NJ
  • NPI 1841246394
  NPD (past) Authorized official
• Tracy H Lathrop, M.D.

  • Gynecology Physician
  • Raleigh, NC
  • NPI 1790898138
  NPD (past)

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254960000000",
    "number": "1700110368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "PEQUANNOCK",
            "state": "NJ",
            "postal_code": "074400370",
            "telephone_number": "973-694-2222",
            "fax_number": "973-694-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 RATZER RD",
            "address_2": "STE 13",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707702",
            "telephone_number": "973-694-0000",
            "fax_number": "973-694-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH JERSEY MEDICAL ASSOC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-10-08",
        "status": "A",
        "authorized_official_last_name": "NICOSIA",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "973-694-2222",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA03341200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Jersey Friendship House Inc
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• North Jersey Healthmed LLC
• North Jersey Interventional Spine Center, LLC
• North Jersey Medical Practice Associates
• North Jersey Medical Practice Associates PC
• North Jersey Nephrology Assoc. PA
• North Jersey Neurologic Associates
• North Jersey Oral Surgeons, P.a.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; 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.