Organization Active NPI

Rochelle Park Medical Center PA

  • Internal Medicine Physician
  • Rochelle Park, NJ
National Provider Identifier
1891874723
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.