Organization Active NPI

Aurora Medical LLC

  • Internal Medicine Physician
  • Hackensack, NJ
National Provider Identifier
1922148667
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA62482 Issued in NJ
Legal business name
AURORA MEDICAL LLC
Practice address
130 Overlook Ave
Suite 2
Hackensack, NJ 07601-2205
Phone
(201) 342-4008
Fax
(201) 342-4228
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Aurora C Andreescu, MD
Title
Owner
Phone
(201) 342-4008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MA62482 NJ Primary

Addresses

Primary practice location

130 Overlook Ave
Suite 2
Hackensack, NJ 07601-2205

Mailing address

130 Overlook Ave
Suite 2
Hackensack, NJ 07601-2205
Phone (201) 342-4008

Other identifiers 3

IdentifierTypeStateIssuer
HEALTHNETOther2K2256
OXFORDOtherP880048
EMPIREOther53S971

National Provider Directory

National Provider Directory

Locations

130 Overlook Ave
Ste 2
Hackensack, NJ 07601
Phone (201) 342-4008

211 Essex St
Ste 203
Hackensack, NJ 07601
Phone (201) 444-2729

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922148667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 OVERLOOK AVE",
            "address_2": "SUITE 2",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012205",
            "telephone_number": "201-342-4008",
            "fax_number": "201-342-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 OVERLOOK AVE",
            "address_2": "SUITE 2",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012205",
            "telephone_number": "201-342-4008",
            "fax_number": "201-342-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDREESCU",
        "authorized_official_first_name": "AURORA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-342-4008",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA62482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "2K2256",
            "identifier": "HEALTHNET",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P880048",
            "identifier": "OXFORD",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "53S971",
            "identifier": "EMPIRE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.