Active NPI
West Paterson Family Medical Center,PA
- Internal Medicine Physician
- West Paterson, NJ
National Provider Identifier
1871678433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- WEST PATERSON FAMILY MEDICAL CENTER,PA
- Practice address
- 1031 McBride Ave
D109
West Paterson, NJ 07424-2559 - Phone
- (973) 785-4020
- Fax
- (973) 785-3186
- NPI assigned
- Oct 25, 2006
- 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
- Dr. Joseph Vitale, M.D.
- Title
- Secretary/Treasurer
- Phone
- (973) 256-7599
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1031 McBride Ave
D109
West Paterson, NJ 07424-2559
Mailing address
1031 McBride Ave
D109
West Paterson, NJ 07424-2559
Phone (973) 785-4020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3056902 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
154 Union Ave
Paterson, NJ 07502
Phone (973) 942-3618
1031 McBride Ave
Ste D109
Woodland Park, NJ 07424
Phone (973) 785-4020
999 McBride Ave
Ste B202
Woodland Park, NJ 07424
Phone (973) 256-7599
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- West Paterson, NJ
- NPI 1205845427
-
- Family Medicine Physician
- Woodland Park, NJ
- NPI 1780965905
-
- Family Nurse Practitioner
- Woodland Park, NJ
- NPI 1760823546
-
- Family Nurse Practitioner
- Paterson, NJ
- NPI 1114299914
-
- Internal Medicine Physician
- West Paterson, NJ
- NPI 1134204779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228867200000",
"number": "1871678433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1031 MCBRIDE AVE",
"address_2": "D109",
"city": "WEST PATERSON",
"state": "NJ",
"postal_code": "074242559",
"telephone_number": "973-785-4020",
"fax_number": "973-785-3186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1031 MCBRIDE AVE",
"address_2": "D109",
"city": "WEST PATERSON",
"state": "NJ",
"postal_code": "074242559",
"telephone_number": "973-785-4020",
"fax_number": "973-785-3186"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST PATERSON FAMILY MEDICAL CENTER,PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2008-12-10",
"status": "A",
"authorized_official_last_name": "VITALE",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "SECRETARY/TREASURER",
"authorized_official_telephone_number": "973-256-7599",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3056902",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Paterson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; 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.