Organization Active NPI

Tiziana Pensabeni Jasper,MD LLC

  • Internal Medicine Physician
  • Clifton, NJ
National Provider Identifier
1922024173
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TIZIANA PENSABENI JASPER,MD LLC
Practice address
1135 Clifton Ave
Suite #102
Clifton, NJ 07013-3642
Phone
(973) 778-4440
Fax
(973) 778-4427
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Authorized official

Name
Dr. Tiziana Pensabeni Jasper, MD
Title
MD
Phone
(973) 778-4440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1135 Clifton Ave
Suite #102
Clifton, NJ 07013-3642

Mailing address

1135 Clifton Ave
Suite #102
Clifton, NJ 07013-3642
Phone (973) 778-4440

Other identifiers 1

IdentifierTypeStateIssuer
1922024173OtherNJLLC NPI

National Provider Directory

National Provider Directory

Locations

1135 Clifton Ave
Ste 102
Clifton, NJ 07013
Phone (973) 774-4440

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1922024173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 CLIFTON AVE",
            "address_2": "SUITE #102",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133642",
            "telephone_number": "973-778-4440",
            "fax_number": "973-778-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 CLIFTON AVE",
            "address_2": "SUITE #102",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133642",
            "telephone_number": "973-778-4440",
            "fax_number": "973-778-4427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIZIANA PENSABENI JASPER,MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "PENSABENI JASPER",
        "authorized_official_first_name": "TIZIANA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "973-778-4440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LLC NPI",
            "identifier": "1922024173",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.