Organization Active NPI

The Gem Medical Group

  • General Practice Physician
  • Riverdale, NJ
National Provider Identifier
1750592879
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
25MA05022000 Issued in NJ
Legal business name
THE GEM MEDICAL GROUP
Practice address
51 Route 23 South
Riverdale, NJ 07456
Phone
(973) 831-5705
Fax
(973) 831-5706
NPI assigned
May 24, 2007
Last updated
Sep 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Authorized official

Name
Cindy Wilno
Title
Billing Manager
Phone
(609) 895-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 25MA05022000 NJ Primary

Addresses

Primary practice location

51 Route 23 South
Riverdale, NJ 07456

Mailing address

51 Route 23 South
Riverdale, NJ 07456
Phone (973) 831-5705

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1750592879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 ROUTE 23 SOUTH",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "07456",
            "telephone_number": "973-831-5705",
            "fax_number": "973-831-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 ROUTE 23 SOUTH",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "07456",
            "telephone_number": "973-831-5705",
            "fax_number": "973-831-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GEM MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "WILNO",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "609-895-9700"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MA05022000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.