Medical Internists Assoc. PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MEDICAL INTERNISTS ASSOC. PA

Practice address

17-15 Maple Ave
Fair Lawn, NJ 07410-1552

Phone

(201) 797-4503

Fax

(201) 797-4270

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Marie Parker

Title

Office Manager

Phone

(201) 797-4503

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1700961034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17-15 MAPLE AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101552",
            "telephone_number": "201-797-4503",
            "fax_number": "201-797-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17-15 MAPLE AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101552",
            "telephone_number": "201-797-4503",
            "fax_number": "201-797-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL INTERNISTS ASSOC. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "201-797-4503"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2843102",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William J McKeon, P.T., D.P.T.
• Cortney Tatiana McKinney
• Nicole McQuillen, LCSW
• Prasad Medepalli
• Medical Associates of Englewood, PC (Englewood Health Physician Network)
• Medical Massage Network LLC
• Medical Multispecialty Association PA
• Maria E Medina-Macias, MSW
• Jordyn Medina
• Medpro Wellness LLC

• Specialist in Fair Lawn, NJ
• Providers in Fair Lawn, 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 20, 2008; 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.