NPIMap

Organization Active NPI

Milltown Medical Associates, LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Springfield, NJ
National Provider Identifier
1912163486
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
25MB06359800 Issued in NJ
Legal business name
MILLTOWN MEDICAL ASSOCIATES, LLC
Practice address
406 Milltown Rd
Springfield, NJ 07081-2445
Phone
(973) 921-1777
Fax
(973) 921-1790
NPI assigned
Aug 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Authorized official

Name
Mrs. Anna Marie Tome
Title
Billing Manager
Phone
(973) 921-1777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0005X 25MB06359800 NJ Primary

Addresses

Primary practice location

406 Milltown Rd
Springfield, NJ 07081-2445

Mailing address

406 Milltown Rd
Springfield, NJ 07081-2445
Phone (973) 921-1777

National Provider Directory

National Provider Directory
Tax ID family
Milltown Medical Associates LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1912163486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 MILLTOWN RD",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070812445",
            "telephone_number": "973-921-1777",
            "fax_number": "973-921-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 MILLTOWN RD",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070812445",
            "telephone_number": "973-921-1777",
            "fax_number": "973-921-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLTOWN MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "TOME",
        "authorized_official_first_name": "ANNA MARIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "973-921-1777",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NJ",
            "license": "25MB06359800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.