NPIMap

Organization Active NPI

Empire Medical II, LLC

  • Clinic/Center
  • Newark, NJ
National Provider Identifier
1871826230
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
25MA07696900 Issued in NJ
Legal business name
EMPIRE MEDICAL II, LLC
Practice address
757 Mt. Prospect Avenue
Newark, NJ 07104-3220
Phone
(973) 350-9002
Fax
(973) 350-9009
NPI assigned
Sep 16, 2009
Last updated
Nov 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Authorized official

Name
Dr. Benjamin Antonio Sabido, M.D.NPI 1720159916
Title
Owner
Phone
(973) 350-9002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 25MA07696900 NJ Primary
Primary Care Clinic/Center 261QP2300X 25MA07696900 NJ

Addresses

Primary practice location

757 Mt. Prospect Avenue
Newark, NJ 07104-3220

Mailing address

1085 Franklin Lakes Road
Franklin Lakes, NJ 07417-1131
Phone (973) 350-9002

Other identifiers 1

IdentifierTypeStateIssuer
0212776MedicaidNJ

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1871826230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 FRANKLIN LAKES ROAD",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171131",
            "telephone_number": "973-350-9002",
            "fax_number": "973-350-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 MT. PROSPECT AVENUE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071043220",
            "telephone_number": "973-350-9002",
            "fax_number": "973-350-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE MEDICAL II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-16",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "SABIDO",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-350-9002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "25MA07696900",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "25MA07696900",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0212776",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.