Edgar G Braunstein, MD PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MA014103 Issued in NJ

Legal business name

EDGAR G BRAUNSTEIN, MD PA

Practice address

7316 Kennedy Blvd
North Bergen, NJ 07047-4035

Phone

(201) 869-3253

Fax

(201) 869-8934

NPI assigned

Dec 10, 2007

Organization subpart

Yes

Parent organization

EDGAR G BRAUNSTEIN, MD PAAs reported in NPPES

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

Authorized official

Name

Edgar G Braunstein, M.D.

Title

President

Phone

(201) 869-3453

Specialties & licenses 1

Addresses

Part of

Edgar G Braunstein MD

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1780867184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7316 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070474035",
            "telephone_number": "201-869-3253",
            "fax_number": "201-869-8934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7316 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070474035",
            "telephone_number": "201-869-3253",
            "fax_number": "201-869-8934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGAR G BRAUNSTEIN, MD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EDGAR G BRAUNSTEIN, MD PA",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "BRAUNSTEIN",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-869-3453",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "MA014103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in North Bergen, NJ
• Providers in North Bergen, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.