Empire Surgical Assistants, LLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

25MA05812900 Issued in NJ

Legal business name

EMPIRE SURGICAL ASSISTANTS, LLC

Practice address

264 Boyden Ave
Maplewood, NJ 07040-3070

Phone

(973) 761-5200

Fax

(973) 761-7617

NPI assigned

Jan 15, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Nader Moaven, MD

Title

Ceo

Phone

(973) 376-0540

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1710344155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 BOYDEN AVE",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403070",
            "telephone_number": "973-761-5200",
            "fax_number": "973-761-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 BOYDEN AVE",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403070",
            "telephone_number": "973-761-5200",
            "fax_number": "973-761-7617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE SURGICAL ASSISTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "MOAVEN",
        "authorized_official_first_name": "NADER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-376-0540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "25MA05812900",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MA05812900",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MA05812900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nnenna Mary Emeghara, PHARMD
• Nichole Emele, FNP
• Empire Medical Associates PC
• Empire Medical Associates, PC
• Empire Medical Urgentcare Center LLC
• Lewis Epstein, MSW
• Grace Epuechi
• Michael Erwin
• Essex Digestive Healthcare PC
• Essex Pathology, LLC.

• Infectious Disease Physician in Maplewood, NJ
• Providers in Maplewood, NJ by specialty
• Infectious Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.