Capstone Health Group

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA09116700 Issued in NJ

Legal business name

CAPSTONE HEALTH GROUP

Practice address

1225 McBride Ave
Suite 222
Woodland Park, NJ 07424-3812

Phone

(973) 808-5551

Fax

(973) 808-5999

NPI assigned

Jan 14, 2015

Organization subpart

No

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

Authorized official

Name

Tim Bluish, CPA

Title

Accountant

Phone

(973) 808-5551

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1790174779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 MCBRIDE AVE",
            "address_2": "SUITE 222",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074243812",
            "telephone_number": "973-808-5551",
            "fax_number": "973-808-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 MCBRIDE AVE",
            "address_2": "SUITE 222",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074243812",
            "telephone_number": "973-808-5551",
            "fax_number": "973-808-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPSTONE HEALTH GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "BLUISH",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "973-808-5551",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA09116700",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "26NJ00279300",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "26NN10630000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baldev Singh Brar, M.D.
• Gurmukh Kaur Brar, M.D.
• Sherry Pine Brown, LCSW
• Emily Byrne, OTR/L
• Frances Callamari, D.P.M.
• Center for Vein Restoration NJ LLC
• Alessandro Cercone, P.E.
• Jaswinder Chalia, M.D.
• Dvir Chen, PT
• Natasha Chhabra, M.D.

• Specialist in Woodland Park, NJ
• Providers in Woodland Park, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.