Active NPI
Bart de Gregorio MD LLC
- Cardiovascular Disease Physician
- Glen Ridge, NJ
National Provider Identifier
1851320758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- BART DE GREGORIO MD LLC
- Practice address
- 946 Bloomfield Ave
Glen Ridge, NJ 07028-1308 - Phone
- (973) 743-1121
- Fax
- (973) 743-2627
- NPI assigned
- Jul 2, 2006
- Last updated
- Jun 23, 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
- Bart De Gregorio, MD
- Title
- Senior Partner
- Phone
- (973) 743-1121
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
946 Bloomfield Ave
Glen Ridge, NJ 07028-1308
Mailing address
946 Bloomfield Ave
Glen Ridge, NJ 07028
Phone (973) 743-1121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7338104 | Medicaid | NJ |
Other names 1
- LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Cardiovascular Disease Physician
- Glen Ridge, NJ
- NPI 1245205558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277251200000",
"number": "1851320758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "946 BLOOMFIELD AVE",
"city": "GLEN RIDGE",
"state": "NJ",
"postal_code": "07028",
"telephone_number": "973-743-1121",
"fax_number": "973-743-2627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "946 BLOOMFIELD AVE",
"city": "GLEN RIDGE",
"state": "NJ",
"postal_code": "070281308",
"telephone_number": "973-743-1121",
"fax_number": "973-743-2627"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BART DE GREGORIO MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-02",
"last_updated": "2010-06-23",
"status": "A",
"authorized_official_last_name": "DE GREGORIO",
"authorized_official_first_name": "BART",
"authorized_official_title_or_position": "SENIOR PARTNER",
"authorized_official_telephone_number": "973-743-1121",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7338104",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Glen Ridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.