NPIMap

Individual provider Active NPI

Amit Tailor, MD

  • Internal Medicine Physician
  • Rutherford, NJ
National Provider Identifier
1861431041
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07622400 Issued in NJ
Practice address
455 Union Ave
Rutherford, NJ 07070-1418
Phone
(201) 933-7611
Fax
(201) 933-7622
NPI assigned
Jun 5, 2006
Last updated
Dec 29, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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 25MA07622400 NJ Primary

Addresses

Primary practice location

455 Union Ave
Rutherford, NJ 07070-1418

Mailing address

455 Union Ave
Rutherford, NJ 07070-1418
Phone (201) 933-7611

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040506000240 NJ Practitioner - Internal Medicine 7719975754 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys General Medical Group PCGroup PAC ID 5496112476, 73 clinicians
SMGH Physician Practice Management LLCGroup PAC ID 6406141480, 3 clinicians

Practice addresses (Care Compare)

350 Boulevard
Passaic, NJ 07055-2840
Phone (973) 365-4300

42 Locust Ave
Wallington, NJ 07057-1300
Phone (973) 472-2912

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07622400NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SMGH Physician Practice Management, LLC Internal Medicine CurrentSince Apr 1, 2021 Accepting new patients
Ihpnj ER LLC CurrentSince Mar 1, 2025 Accepting new patients
St Marys General Medical Group PC Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
Cogent Healthcare of New Jersey, PC Internal Medicine CurrentSince Dec 1, 2009 Accepting new patients
Hospitalist Medicine Physicians of Pennsylvania, P.C. Internal Medicine CurrentSince Dec 1, 2009 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC Internal Medicine PastSince Aug 28, 2022 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC PastSince Oct 23, 2022 Accepting new patients
Prime Healthcare Services - St. Mary's Passaic LLC Past Accepting new patients

Locations

29 E 29th St
Bayonne, NJ 07002
Phone (201) 585-5000

1033 Clifton Ave
Clifton, NJ 07013
Phone (973) 473-5700

613 Park Ave
Ste 2
East Orange, NJ 07017

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

42 Locust Ave
Wallington, NJ 07057
Phone (973) 472-2912

610 Sentry Pkwy
Bldg 660
Blue Bell, PA 19422

Organizations & group practices 10

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1861431041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 UNION AVE",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070701418",
            "telephone_number": "201-933-7611",
            "fax_number": "201-933-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 UNION AVE",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070701418",
            "telephone_number": "201-933-7611",
            "fax_number": "201-933-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAILOR",
        "first_name": "AMIT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07622400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherford, NJ

Sources for this page

Verify at the official NPI Registry.