Prestige Medical Associates LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRESTIGE MEDICAL ASSOCIATES LLC

Practice address

47 Orient Way
Suite 3 B
Rutherford, NJ 07070-1418

Phone

(201) 939-2826

Fax

(201) 939-0562

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Eleanor A Gonnella

Title

MD

Phone

(201) 939-2826

Specialties & licenses 1

Addresses

Locations

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": "1780733956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 ORIENT WAY",
            "address_2": "SUITE 3 B",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070701418",
            "telephone_number": "201-939-2826",
            "fax_number": "201-939-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 ORIENT WAY",
            "address_2": "SUITE 3 B",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070701418",
            "telephone_number": "201-939-2826",
            "fax_number": "201-939-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONNELLA",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "201-939-2826",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Katarzyna Pieczuro, M.D.
• Mary Kate Polifrone, RN
• Steven N. Poling, D.P.M.
• Amanda R Pollifrone
• Jaroslaw S Pondo, MD
• Prestinemd
• Prime Relief & Wellness
• Pro Form Sports Medicine and Wellness Associates
• Prodigy Medical Management
• Professional Occupational & Physical Therapy, PLLC

• Internal Medicine Physician in Rutherford, NJ
• Providers in Rutherford, NJ by specialty
• Internal Medicine Physician in New Jersey

• 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.