Medical Multispecialty Association PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MEDICAL MULTISPECIALTY ASSOCIATION PA

Practice address

11-26 Saddle River Rd
Fair Lawn, NJ 07410-5634

Phone

(201) 796-9200

Fax

(201) 796-7606

NPI assigned

May 22, 2007

Last updated

Feb 12, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brad Herman, M.D.NPI 1760484729

Title

Physician

Phone

(201) 796-9200

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 10

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.

• Brad Herman, MD

  • Cardiovascular Disease Physician
  • Fair Lawn, NJ
  • NPI 1760484729
  Medicare reassignment Care Compare group NPD Authorized official
• Vivian K Bethala, MD

  • Specialist
  • Emerson, NJ
  • NPI 1235191800
  Medicare reassignment Care Compare group NPD
• Nicole Dawn Rubackin-Hayward, DPM

  • Primary Podiatric Medicine Podiatrist
  • Glen Rock, NJ
  • NPI 1316176068
  Medicare reassignment Care Compare group NPD
• Anthony F. Tramontana, M.D.

  • Diagnostic Radiology Physician
  • Jersey City, NJ
  • NPI 1639114093
  Medicare reassignment Care Compare group NPD
• Sameer Sadanand Naik, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Pontiac, MI
  • NPI 1952587453

  NJ

  Medicare reassignment Care Compare group NPD
• Oren Bernheim, M.D.

  • Gastroenterology Physician
  • Wayne, NJ
  • NPI 1639338783
  Medicare reassignment NPD
• Jeffrey Lefkowitz, MD

  • Gastroenterology Physician
  • Fair Lawn, NJ
  • NPI 1790757870
  Medicare reassignment NPD
• Jacob Mann Reinkraut, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Ridgewood, NJ
  • NPI 1033368022
  Medicare reassignment NPD
• Gary D Hilt, AUD

  • Audiologist
  • Paramus, NJ
  • NPI 1174651947
  Medicare reassignment
• Jeff Chung, M.D.

  • Rheumatology Physician
  • Emerson, NJ
  • NPI 1083684088
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1891905873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11-26 SADDLE RIVER RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105634",
            "telephone_number": "201-796-9200",
            "fax_number": "201-796-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11-26 SADDLE RIVER RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105634",
            "telephone_number": "201-796-9200",
            "fax_number": "201-796-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL MULTISPECIALTY ASSOCIATION PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "201-796-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP001995",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00298000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole McQuillen, LCSW
• Prasad Medepalli
• Medical Associates of Englewood, PC (Englewood Health Physician Network)
• Medical Internists Assoc. PA
• Medical Massage Network LLC
• Maria E Medina-Macias, MSW
• Jordyn Medina
• Medpro Wellness LLC
• Alka Mehta, RPH
• Anna Meister, MS RD CDN

• Internal Medicine Physician in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.