Joaquim J. Correia, MD LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

25MA05045300 Issued in NJ

Legal business name

JOAQUIM J. CORREIA, MD LLC

Practice address

243 Chestnut St Ste 2L
Newark, NJ 07105-6501

Phone

(973) 589-8668

Fax

(973) 589-7996

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joaquim J Correia, MDNPI 1205945623

Title

President

Phone

(973) 589-8668

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Joaquim Jose Correia, MD

  • Cardiovascular Disease Physician
  • Newark, NJ
  • NPI 1205945623
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1861501066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W END PL",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070161720",
            "telephone_number": "908-931-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 CHESTNUT ST STE 2L",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071056501",
            "telephone_number": "973-589-8668",
            "fax_number": "973-589-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOAQUIM J. CORREIA, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "CORREIA",
        "authorized_official_first_name": "JOAQUIM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-589-8668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA05045300",
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NJ",
            "license": "25MA05045300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6144306",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Humberto Rafael Jimenez, PHARM.D., BCPS
• Juan Esteban Jimenez, MD
• JLS Medical PC
• Katherine S Jo, DMD
• Sebastien Joachim
• Joel Meer PC
• Johanan Care Inc.
• Roger Edmund Johansen, D.M.D.
• Elizabeth Johansson, CRNA
• George John, DO

• Cardiovascular Disease Physician in Newark, NJ
• Providers in Newark, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.