NPIMap

Organization Active NPI

Morristown Pathology Associates, PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Morristown, NJ
National Provider Identifier
1922075886
Registry record updated May 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
MORRISTOWN PATHOLOGY ASSOCIATES, PA
Practice address
100 Madison Ave
Morristown, NJ 07960-6136
Phone
(973) 971-5612
Fax
(973) 290-7370
NPI assigned
Feb 28, 2006
Last updated
May 25, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2017

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

Authorized official

Name
Dr. Jory G MagidsonNPI 1669449526
Title
President
Phone
(973) 971-5612

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X NU Primary
Clinical Medical Laboratory 291U00000X 25MF00056400 NJ

Addresses

Primary practice location

100 Madison Ave
Morristown, NJ 07960-6136

Mailing address

P.O. Box 500
Hackettstown, NJ 07840-0500

Other identifiers 1

IdentifierTypeStateIssuer
3242501MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040420000045 NJ Part B Supplier - Clinic/Group Practice 4981699717 Receives reassigned benefits from 28 practitioners
Practice locations: Hackettstown, NJ; Morristown, NJ; Newton, NJ; Pompton Plains, NJ; Summit, NJ

National Provider Directory

National Provider Directory

Locations

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

Practitioners & affiliated clinicians

Practitioners 37

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.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495670400000",
    "number": "1922075886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 500",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078400500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MADISON AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606136",
            "telephone_number": "973-971-5612",
            "fax_number": "973-290-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRISTOWN PATHOLOGY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2017-05-25",
        "status": "A",
        "authorized_official_last_name": "MAGIDSON",
        "authorized_official_first_name": "JORY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-971-5612",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NJ",
            "license": "25MF00056400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3242501",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.