Individual provider Active NPI

George Jiri Paroulek, MD

  • Internal Medicine Physician
  • Secaucus, NJ
National Provider Identifier
1821026782
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA04582200 Issued in NJ
Practice address
210 Meadowlands Pkwy
Secaucus, NJ 07094-2311
Phone
(201) 348-3636
Fax
(201) 583-0713
NPI assigned
Jun 29, 2006
Last updated
Nov 1, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA04582200 NJ Primary

Addresses

Primary practice location

210 Meadowlands Pkwy
Secaucus, NJ 07094-2311

Mailing address

328 W Saint Georges Ave
Linden, NJ 07036-5638
Phone (908) 925-7519

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040812000500 NJ Practitioner - Internal Medicine 3375515976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Care PAGroup PAC ID 1658584008, 10 clinicians

Practice addresses (Care Compare)

256 US Hwy 206
Hillsborough, NJ 08844-4681
Phone (908) 262-2263

257 Route 22 E
Green Brook, NJ 08812-9997
Phone (732) 968-7878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA04582200NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care PA Internal Medicine CurrentSince Apr 25, 2018 Accepting new patients
Family Care,P.a. Past Accepting new patients
Dhillon Spine Specialists, P.C. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gparoulek38747@direct.ahsys.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1821026782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 W SAINT GEORGES AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070365638",
            "telephone_number": "908-925-7519",
            "fax_number": "908-925-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MEADOWLANDS PKWY",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942311",
            "telephone_number": "201-348-3636",
            "fax_number": "201-583-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAROULEK",
        "first_name": "GEORGE",
        "middle_name": "JIRI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA04582200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Secaucus, NJ

Sources for this page

Verify at the official NPI Registry.