Organization Active NPI

Joel G. Fischgrund M.D.P.a.

  • Family Medicine Physician
  • Lincoln Park, NJ
National Provider Identifier
1821235136
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA03627500 Issued in NJ
Legal business name
JOEL G. FISCHGRUND M.D.P.A.
Practice address
61 Beaverbrook Rd
Suite 301
Lincoln Park, NJ 07035-1748
Phone
(973) 696-6687
Fax
(973) 696-2260
NPI assigned
Jan 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2009

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

Authorized official

Name
Dr. Joel Gary Fischgrund, M.D.NPI 1427097534
Title
Physician/Owner
Phone
(973) 696-6687

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MA03627500 NJ Primary

Addresses

Primary practice location

61 Beaverbrook Rd
Suite 301
Lincoln Park, NJ 07035-1748

Mailing address

61 Beaverbrook Rd
Suite 301
Lincoln Park, NJ 07035-1748
Phone (973) 696-6687

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1821235136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 BEAVERBROOK RD",
            "address_2": "SUITE 301",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351748",
            "telephone_number": "973-696-6687",
            "fax_number": "973-696-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 BEAVERBROOK RD",
            "address_2": "SUITE 301",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351748",
            "telephone_number": "973-696-6687",
            "fax_number": "973-696-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL G. FISCHGRUND M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "FISCHGRUND",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "973-696-6687",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA03627500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; 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.