Active NPI
Rochelle Park Medical Center PA
- Internal Medicine Physician
- Rochelle Park, NJ
National Provider Identifier
1891874723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ROCHELLE PARK MEDICAL CENTER PA
- Practice address
- 96 Parkway
Rochelle Park Medical Center PA
Rochelle Park, NJ 07662 - Phone
- (201) 291-1010
- Fax
- (201) 587-0313
- NPI assigned
- Nov 2, 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
- Peter Joseph Imbornone
- Title
- Partner
- Phone
- (201) 291-1010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
96 Parkway
Rochelle Park Medical Center PA
Rochelle Park, NJ 07662
Mailing address
96 Parkway
Rochelle Park Medical Center PA
Rochelle Park, NJ 07662
Phone (201) 291-1010
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1891874723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 PARKWAY",
"address_2": "ROCHELLE PARK MEDICAL CENTER PA",
"city": "ROCHELLE PARK",
"state": "NJ",
"postal_code": "07662",
"telephone_number": "201-291-1010",
"fax_number": "201-587-0313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 PARKWAY",
"address_2": "ROCHELLE PARK MEDICAL CENTER PA",
"city": "ROCHELLE PARK",
"state": "NJ",
"postal_code": "07662",
"telephone_number": "201-291-1010",
"fax_number": "201-587-0313"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCHELLE PARK MEDICAL CENTER PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "IMBORNONE",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "201-291-1010"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochelle Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.