Pulmonary & Critical Care Associates,LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

PULMONARY & CRITICAL CARE ASSOCIATES,LLC

Practice address

2333 Morris Avenue
Suite A1
Union, NJ 07083-5746

Phone

(908) 964-1964

Fax

(908) 964-6286

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Ilia Segal, MD

Title

President

Phone

(908) 964-1964

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1710088422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 MORRIS AVENUE",
            "address_2": "SUITE A1",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835746",
            "telephone_number": "908-964-1964",
            "fax_number": "908-964-6286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 MORRIS AVENUE",
            "address_2": "SUITE A1",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835746",
            "telephone_number": "908-964-1964",
            "fax_number": "908-964-6286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY & CRITICAL CARE ASSOCIATES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "SEGAL",
        "authorized_official_first_name": "ILIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-964-1964",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3225003",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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