Organization Active NPI

Nicholas C Maglaras MD LLP

  • Pulmonary Disease Physician
  • Roselle Park, NJ
National Provider Identifier
1720184591
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
NICHOLAS C MAGLARAS MD LLP
Practice address
236 E Westfield Ave
Roselle Park, NJ 07204-2084
Phone
(908) 245-8222
Fax
(908) 245-6504
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nicholas C Maglaras, MDNPI 1336245109
Title
Owner
Phone
(908) 245-8222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

236 E Westfield Ave
Roselle Park, NJ 07204-2084

Mailing address

236 E Westfield Ave
Roselle Park, NJ 07204-2084
Phone (908) 245-8222

Other identifiers 1

IdentifierTypeStateIssuer
6125107MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040129000677 NJ Part B Supplier - Clinic/Group Practice 3678476405 Receives reassigned benefits from 2 practitioners
Practice locations: Roselle Park, NJ

National Provider Directory

National Provider Directory

Locations

236 E Westfield Ave
Ste 5
Roselle Park, NJ 07204
Phone (908) 245-8222

236 E Westfield Ave
Roselle Park, NJ 07204
Phone (908) 245-8222

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720184591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 E WESTFIELD AVE",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "072042084",
            "telephone_number": "908-245-8222",
            "fax_number": "908-245-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 E WESTFIELD AVE",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "072042084",
            "telephone_number": "908-245-8222",
            "fax_number": "908-245-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS C MAGLARAS MD LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAGLARAS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-245-8222",
        "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": "6125107",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roselle Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.