Organization Active NPI

R M C N J PA

  • Respiratory/Developmental/Rehabilitative Specialist/Technologist
  • West Orange, NJ
National Provider Identifier
1770632879
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respiratory/Developmental/Rehabilitative Specialist/TechnologistTaxonomy code 225500000X
License
25MA05832500 Issued in NJ
Legal business name
R M C N J PA
Practice address
667 Eagle Rock Ave
West Orange, NJ 07052-2177
Phone
(973) 731-8112
NPI assigned
Jan 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Dr. Dov Johanan Rand
Title
Owner-Physician
Phone
(973) 731-8112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respiratory/Developmental/Rehabilitative Specialist/Technologist 225500000X 25MA05832500 NJ Primary

Addresses

Primary practice location

667 Eagle Rock Ave
West Orange, NJ 07052-2177

Mailing address

667 Eagle Rock Ave
West Orange, NJ 07052-2177
Phone (973) 731-8112

Other identifiers 3

IdentifierTypeStateIssuer
P2823540OtherOXFORD PIN
6543006MedicaidNJ
5444128OtherAETNA PIN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770632879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 EAGLE ROCK AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522177",
            "telephone_number": "973-731-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 EAGLE ROCK AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522177",
            "telephone_number": "973-731-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R M C N J PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAND",
        "authorized_official_first_name": "DOV",
        "authorized_official_middle_name": "JOHANAN",
        "authorized_official_title_or_position": "OWNER-PHYSICIAN",
        "authorized_official_telephone_number": "973-731-8112",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "225500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "NJ",
            "license": "25MA05832500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PIN",
            "identifier": "P2823540",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6543006",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "5444128",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.