Internal Medicine of Totowa LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA06967300 Issued in NJ

Legal business name

INTERNAL MEDICINE OF TOTOWA LLC

Practice address

426 Union Blvd
Totowa, NJ 07512-2562

Phone

(973) 595-8400

Fax

(973) 595-8501

NPI assigned

Aug 21, 2012

Organization subpart

No

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

Authorized official

Name

Marzena Odorczuk, MDNPI 1427153527

Title

Sole Member

Phone

(973) 595-8400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marzena Odorczuk, MD

  • Internal Medicine Physician
  • Totowa, NJ
  • NPI 1427153527
  Medicare reassignment NPD Authorized official
• Lisa Shindle, NP

  • Family Nurse Practitioner
  • Totowa, NJ
  • NPI 1013915412
  Medicare reassignment NPD
• John F Ambrose, MD

  • Orthopaedic Surgery Physician
  • Totowa, NJ
  • NPI 1760587851
  NPD (past)
• Edyta Kolbusz, APN

  • Adult Health Nurse Practitioner
  • Totowa, NJ
  • NPI 1316498413
  NPD (past)
• Alexander J Welch, NP

  • Primary Care Nurse Practitioner
  • Denville, NJ
  • NPI 1922383827
  NPD (past)

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1811245913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 UNION BLVD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122562",
            "telephone_number": "973-595-8400",
            "fax_number": "973-595-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 UNION BLVD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122562",
            "telephone_number": "973-595-8400",
            "fax_number": "973-595-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE OF TOTOWA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-21",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "ODORCZUK",
        "authorized_official_first_name": "MARZENA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "973-595-8400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06967300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Icare Ambulance Corp
• Icdl
• Minera Idris Ahmed
• Immedicenter Totowa
• Infusion Solutions, Inc.
• Susan Elizabeth Jackson, EDD.,APN-BC
• Edward R Jacobs, OD
• Ivan Jakimovski, MD, MPH, DABFM
• Rebecca Anne Janis, RBT
• Carol Jarrouj

• Internal Medicine Physician in Totowa, NJ
• Providers in Totowa, 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 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.