Milltown Medical Associates, LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

25MA5507600 Issued in NJ

Legal business name

MILLTOWN MEDICAL ASSOCIATES, LLC

Practice address

406 Milltown Rd
Springfield, NJ 07081-2445

Phone

(973) 921-1777

Fax

(973) 921-1790

NPI assigned

Jan 23, 2013

Last updated

Jan 23, 2013By 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

Mrs. Anna Tome

Title

Billing

Phone

(973) 921-1777

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1700124922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 MILLTOWN RD",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070812445",
            "telephone_number": "973-921-1777",
            "fax_number": "973-921-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 MILLTOWN RD",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070812445",
            "telephone_number": "973-921-1777",
            "fax_number": "973-921-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLTOWN MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "TOME",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "973-921-1777",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00211500",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA5507600",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA04456500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pulmonary Disease Physician in Springfield, NJ
• Providers in Springfield, NJ by specialty
• Pulmonary Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.