Med-Care of East Rutherford, Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MED-CARE OF EAST RUTHERFORD, INC.

Practice address

245 Park Avenue
East Rutherford, NJ 07073

Phone

(201) 939-7161

Fax

(201) 939-4053

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

John C Scolamiero, MD

Title

Medical Director

Phone

(201) 939-7161

Specialties & licenses 3

Addresses

Other names 1

• Med-Care of East Rutherford Other name

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

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627603200000",
    "number": "1831260546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 PARK AVENUE",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "07073",
            "telephone_number": "973-882-3545",
            "fax_number": "973-882-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 PARK AVENUE",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "07073",
            "telephone_number": "201-939-7161",
            "fax_number": "201-939-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-CARE OF EAST RUTHERFORD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A",
        "authorized_official_last_name": "SCOLAMIERO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "201-939-7161",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med-Care of East Rutherford",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Med-Care of East Rutherford",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• General Practice Physician in East Rutherford, NJ
• Providers in East Rutherford, NJ by specialty
• General Practice Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.