Organization Active NPI

Medical Associates of Englewood, PC

Doing business as Englewood Health Physician Network

  • Emergency Medicine Physician
  • Englewood, NJ
National Provider Identifier
1750034336
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
MEDICAL ASSOCIATES OF ENGLEWOOD, PC
Doing business as
Englewood Health Physician Network
Practice address
35 Nathaniel PL
Englewood, NJ 07631-2736
Phone
(551) 501-1100
Fax
(201) 568-7444
NPI assigned
Feb 2, 2022
Last updated
Feb 3, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
MEDICAL ASSOCIATES OF ENGLEWOOD, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Authorized official

Name
Sha'Lee Jones
Title
Director
Phone
(201) 894-3012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

35 Nathaniel PL
Englewood, NJ 07631-2736

Mailing address

30 Montgomery St Ste 720
Jersey City, NJ 07302-3834
Phone (646) 517-1255

Other names 2

  • Englewood Health Physician Network Doing business as
  • EHPN Urgent Care 35 Nathaniel Plac Other name

National Provider Directory

National Provider Directory
Tax ID family
Medical Associates of Englewood PC6 organizations share this tax ID, including this one
Part of
Medical Associates of Englewood PC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1750034336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MONTGOMERY ST STE 720",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023834",
            "telephone_number": "646-517-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 NATHANIEL PL",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312736",
            "telephone_number": "551-501-1100",
            "fax_number": "201-568-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ASSOCIATES OF ENGLEWOOD, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL ASSOCIATES OF ENGLEWOOD, PC",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SHA'LEE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "201-894-3012"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Englewood Health Physician Network",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Englewood Health Physician Network",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EHPN Urgent Care 35 Nathaniel Plac",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.