Active NPI
Mid-Essex Healthcare Professionals PC
- Gynecology Physician
- East Orange, NJ
National Provider Identifier
1902175953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- Legal business name
- MID-ESSEX HEALTHCARE PROFESSIONALS PC
- Practice address
- 310 Central Ave
Ste 201
East Orange, NJ 07018-2835 - Phone
- (973) 676-6207
- NPI assigned
- Dec 21, 2011
- 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
- Dr. Clifford W Toliver, MD
- Title
- President /Ceo
- Phone
- (973) 676-6207
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Gynecology Physician | 207VG0400X | Primary |
Addresses
Primary practice location
310 Central Ave
Ste 201
East Orange, NJ 07018-2835
Mailing address
PO Box 2303
East Orange, NJ 07019-2303
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gynecology Physician
- Livingston, NJ
- NPI 1326066812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1324425600000",
"number": "1902175953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2303",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070192303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 CENTRAL AVE",
"address_2": "STE 201",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070182835",
"telephone_number": "973-676-6207"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID-ESSEX HEALTHCARE PROFESSIONALS PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-21",
"last_updated": "2011-12-21",
"status": "A",
"authorized_official_last_name": "TOLIVER",
"authorized_official_first_name": "CLIFFORD",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT /CEO",
"authorized_official_telephone_number": "973-676-6207",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.