North Haledon Medical

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MB06978600 Issued in NJ

Legal business name

NORTH HALEDON MEDICAL

Practice address

535 High Mountain Rd
Suite 202
North Haledon, NJ 07508-2665

Phone

(973) 427-6975

NPI assigned

Jun 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Anthony J Barravecchio, DONPI 1114996477

Title

Owner

Phone

(973) 427-6975

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Anthony J Barravecchio, D.O.

  • Internal Medicine Physician
  • Wayne, NJ
  • NPI 1114996477
  NPD (past) Authorized official

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1891733929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 HIGH MOUNTAIN RD",
            "address_2": "SUITE 202",
            "city": "NORTH HALEDON",
            "state": "NJ",
            "postal_code": "075082665",
            "telephone_number": "973-427-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 HIGH MOUNTAIN RD",
            "address_2": "SUITE 202",
            "city": "NORTH HALEDON",
            "state": "NJ",
            "postal_code": "075082665",
            "telephone_number": "973-427-6975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH HALEDON MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "BARRAVECCHIO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-427-6975",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MB06978600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP #",
            "identifier": "DC3972",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERITHEALTH GROUP #",
            "identifier": "2016613000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monarch Counseling Center LLC
• Monarch Counseling Center LLC
• Mua Solutions,Inc
• Kathlene Margaret Nagy
• North Haledon Dental LLC
• Carmen John Occhiuzzi, D.C.
• Optimum Vitality
• Chelsea Otte, LAT, ATC
• Evelyn Paz
• Peter Perera, D.M.D., PA.

• All providers in North Haledon, NJ
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.