Medical Associates of Englewood, PC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

MEDICAL ASSOCIATES OF ENGLEWOOD, PC

Doing business as

Englewood Health Physician Network

Practice address

22-18 Broadway Ste 105
Fair Lawn, NJ 07410-3016

Phone

(551) 444-6010

Fax

(201) 568-7975

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

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

Addresses

Other names 2

• Englewood Health Physician Network Doing business as
• EHPN Urgent Care 22-18 Broadqy Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Medical Associates of Englewood, PC

  • Emergency Medicine Physician
  • Cresskill, NJ
  • NPI 1053949412
  NPD tax ID
• Medical Associates of Englewood, PC

  • Durable Medical Equipment & Medical Supplies
  • Englewood, NJ
  • NPI 1154950269
  NPD tax ID
• Medical Associates of Englewood, PC

  dba Englewood Health Physician Network

  • Emergency Medicine Physician
  • Jersey City, NJ
  • NPI 1326791906
  NPD tax ID
• Medical Associates of Englewood, PC

  • Podiatrist
  • Englewood, NJ
  • NPI 1700355807
  NPD tax ID
• Medical Associates of Englewood, PC

  dba Englewood Health Physician Network

  • Emergency Medicine Physician
  • Englewood, NJ
  • NPI 1750034336
  NPD tax ID

Locations

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": "1770236358",
    "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": "22-18 BROADWAY STE 105",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103016",
            "telephone_number": "551-444-6010",
            "fax_number": "201-568-7975"
        }
    ],
    "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": null,
            "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 22-18 Broadqy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Chaye McIntosh, MS, LCADC
• William J McKeon, P.T., D.P.T.
• Cortney Tatiana McKinney
• Nicole McQuillen, LCSW
• Prasad Medepalli
• Medical Internists Assoc. PA
• Medical Massage Network LLC
• Medical Multispecialty Association PA
• Maria E Medina-Macias, MSW
• Jordyn Medina

• Emergency Medicine Physician in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Emergency Medicine Physician in New Jersey

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.