NPIMap

Organization Active NPI

Obesity Treatment Centers of New Jersey LLC

Doing business as Nusbaum Medical Centers

  • Surgery Physician
  • Cedar Knolls, NJ
National Provider Identifier
1790990364
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MA061479 Issued in NJ
Legal business name
OBESITY TREATMENT CENTERS OF NEW JERSEY LLC
Doing business as
Nusbaum Medical Centers
Practice address
197 Ridgedale Ave Ste 160
Cedar Knolls, NJ 07927-2108
Phone
(973) 998-9833
NPI assigned
May 14, 2007
Last updated
Jun 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Authorized official

Name
Dr. Michael Jay Nusbaum, MDNPI 1265460554
Title
Owner/President
Phone
(973) 998-9833

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X MA061479 NJ Primary

Addresses

Primary practice location

197 Ridgedale Ave Ste 160
Cedar Knolls, NJ 07927-2108

Mailing address

197 Ridgedale Ave Ste 160
Cedar Knolls, NJ 07927-2108
Phone (973) 998-9833

Other practice location 1

95 Madison Ave
Suite A06
Morristown, NJ 07960-6092
Phone (973) 998-9833

Other names 1

  • Nusbaum Medical Centers Doing business as

National Provider Directory

National Provider Directory

Locations

197 Ridgedale Ave
Ste 160
Cedar Knolls, NJ 07927
Phone (973) 998-9833

95 Madison Ave
Ste A06
Morristown, NJ 07960
Phone (973) 993-7100

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1790990364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 RIDGEDALE AVE STE 160",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079272108",
            "telephone_number": "973-998-9833",
            "fax_number": "973-998-9832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 RIDGEDALE AVE STE 160",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079272108",
            "telephone_number": "973-998-9833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 Madison Ave",
            "address_2": "Suite A06",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "NJ",
            "postal_code": "079606092",
            "country_code": "US",
            "telephone_number": "973-998-9833",
            "fax_number": "973-998-9832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OBESITY TREATMENT CENTERS OF NEW JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "NUSBAUM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "973-998-9833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": "MA061479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nusbaum Medical Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Knolls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.