NPIMap

Organization Active NPI

Tenafly Medical Group

  • Rheumatology Physician
  • Teaneck, NJ
National Provider Identifier
1902404197
Registry record updated Oct 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
TENAFLY MEDICAL GROUP
Practice address
197 Cedar LN Ste 2
Teaneck, NJ 07666-4300
Phone
(201) 975-2400
NPI assigned
Oct 11, 2020
Last updated
Oct 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2020

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

Authorized official

Name
Anna Zezon, MDNPI 1871866632
Title
Physician
Phone
(917) 297-8623

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X NU
Pulmonary Disease Physician 207RP1001X NU
Rheumatology Physician 207RR0500X NU Primary

Addresses

Primary practice location

197 Cedar LN Ste 2
Teaneck, NJ 07666-4300

Mailing address

15 N Summit St
Tenafly, NJ 07670-1008
Phone (917) 297-8623

Other practice location 1

1 Sears Dr Ste 402
Paramus, NJ 07652-3520
Phone (201) 399-2044

Other practice location 2

245 Engle St Ste 1
Englewood, NJ 07631-2466
Phone (201) 399-2044

National Provider Directory

National Provider Directory

Locations

245 Engle St
Ste 1
Englewood, NJ 07631
Phone (201) 399-2044

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1602374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602374400000",
    "number": "1902404197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 N SUMMIT ST",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076701008",
            "telephone_number": "917-297-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 CEDAR LN STE 2",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664300",
            "telephone_number": "201-975-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Sears Dr Ste 402",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "076523520",
            "country_code": "US",
            "telephone_number": "201-399-2044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 Engle St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "NJ",
            "postal_code": "076312466",
            "country_code": "US",
            "telephone_number": "201-399-2044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TENAFLY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-11",
        "last_updated": "2020-10-11",
        "certification_date": "2020-10-11",
        "status": "A",
        "authorized_official_last_name": "ZEZON",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "917-297-8623",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.