Active NPI
Canterbury Medical Associates-Critical Care PC
- Critical Care Medicine (Internal Medicine) Physician
- Jersey City, NJ
National Provider Identifier
1821300864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- Legal business name
- CANTERBURY MEDICAL ASSOCIATES-CRITICAL CARE PC
- Practice address
- 176 Palisade Ave
Jersey City, NJ 07306-1121 - Phone
- (201) 795-8389
- NPI assigned
- Jul 7, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jerzy A Popko
- Title
- Evp Finance & Cfo
- Phone
- (201) 795-8637
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | Primary |
Addresses
Primary practice location
176 Palisade Ave
Jersey City, NJ 07306-1121
Mailing address
176 Palisade Ave
Jersey City, NJ 07306-1121
Phone (201) 795-8389
National Provider Directory
National Provider DirectoryLocations
176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- New York, NY
- NPI 1316929524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1303344000000",
"number": "1821300864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "176 PALISADE AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073061121",
"telephone_number": "201-795-8389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 PALISADE AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073061121",
"telephone_number": "201-795-8389"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CANTERBURY MEDICAL ASSOCIATES-CRITICAL CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-07",
"last_updated": "2011-04-21",
"status": "A",
"authorized_official_last_name": "POPKO",
"authorized_official_first_name": "JERZY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "EVP FINANCE & CFO",
"authorized_official_telephone_number": "201-795-8637"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.