Active NPI
Carmelo Milazzo, M.D.
- Internal Medicine Physician
- Union City, NJ
National Provider Identifier
1760438691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MA060965
- Practice address
- 2124 New York Ave
Union City, NJ 07087-4416 - Phone
- (201) 864-6492
- Fax
- (201) 865-3207
- NPI assigned
- May 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA060965 | NJ | Primary |
Addresses
Primary practice location
2124 New York Ave
Union City, NJ 07087-4416
Mailing address
2124 New York Ave
Union City, NJ 07087-4416
Phone (201) 864-6492
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7191502 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA060965 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Humc Opco LLC | Current | Accepting new patients | |
| Feraydoon Kohan, MD, LLC | Past | Accepting new patients | |
| Debra Grossano Ms Rd Cde LLC | Past | Accepting new patients |
Interoperability endpoints
- cmilazzo@direct.hobokenumc.md
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Hoboken, NJ
- NPI 1043475668
-
- Registered Dietitian
- Edgewater, NJ
- NPI 1194906305
-
- Cardiovascular Disease Physician
- Jersey City, NJ
- NPI 1043310253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343692800000",
"number": "1760438691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2124 NEW YORK AVE",
"city": "UNION CITY",
"state": "NJ",
"postal_code": "070874416",
"telephone_number": "201-864-6492",
"fax_number": "201-865-3207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2124 NEW YORK AVE",
"city": "UNION CITY",
"state": "NJ",
"postal_code": "070874416",
"telephone_number": "201-864-6492",
"fax_number": "201-865-3207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILAZZO",
"first_name": "CARMELO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2012-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MA060965",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7191502",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Union City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.