Organization Active NPI

Gregory Tamagnini DPM LLC

  • Podiatrist
  • Totowa, NJ
National Provider Identifier
1881180735
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00317600 Issued in NJ
Legal business name
GREGORY TAMAGNINI DPM LLC
Practice address
195 US Highway 46 Ste 12
Totowa, NJ 07512
Phone
(973) 837-8173
Fax
(973) 837-8174
NPI assigned
Jul 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Gregory S Tamagnini, DPMNPI 1700122660
Title
Doctor/Owner
Phone
(973) 837-8173

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 25MD00317600 NJ Primary

Addresses

Primary practice location

195 US Highway 46 Ste 12
Totowa, NJ 07512

Mailing address

195 US Highway 46 Ste 12
Totowa, NJ 07512-1833
Phone (973) 837-8173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180912001349 NJ Part B Supplier - Clinic/Group Practice 4587914510 Receives reassigned benefits from 1 practitioner
Practice locations: Totowa, NJ

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.

NPI Registry JSON

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1881180735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 US HIGHWAY 46 STE 12",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075121833",
            "telephone_number": "973-837-8173",
            "fax_number": "973-837-8174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 US HIGHWAY 46 STE 12",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "07512",
            "telephone_number": "973-837-8173",
            "fax_number": "973-837-8174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY TAMAGNINI DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-03",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "TAMAGNINI",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "973-837-8173",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00317600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Totowa, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.