Isao Kitaguchi

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

46TR00669800 Issued in NJ

Practice address

5 Boroline Rd
Saddle River, NJ 07458-2343

Phone

(201) 818-8680

NPI assigned

Apr 13, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428883200000",
    "number": "1922494368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 MIDLAND AVE APT 4",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BOROLINE RD",
            "city": "SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074582343",
            "telephone_number": "201-818-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITAGUCHI",
        "first_name": "ISAO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "NJ",
            "license": "46TR00669800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Eric Kasper, MD
• Katherine Sutton LLC
• Joanne Kearns, LCSW
• Adina Kelman
• Ebrahim J. Kermani, M.D.
• Allwyn Joseph Levine, MD
• Thomas Cord Lohmann, DMD
• Maga Medical LLC
• Monica Lynn Meyer, M.D.
• Renato C. Miguel, M.D.

• Physical Disabilities Residential Treatment Facility in Saddle River, NJ
• Providers in Saddle River, NJ by specialty
• Physical Disabilities Residential Treatment Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.