Pattner & Grodstein MD PA

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

PATTNER & GRODSTEIN MD PA

Practice address

177 N Dean St
Suite 207
Englewood, NJ 07631-2533

Phone

(201) 567-0446

Fax

(201) 567-8775

NPI assigned

Aug 14, 2006

Last updated

Oct 1, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Austin M Pattner, MDNPI 1639150840

Title

President

Phone

(201) 567-0446

Specialties & licenses 2

Addresses

Other identifiers 6

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

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.

• Austin M Pattner, MD

  • Nephrology Physician
  • Englewood, NJ
  • NPI 1639150840
  Authorized official Same address or phone
• Giana Kristy Ramos, D.O.

  • Nephrology Physician
  • Englewood, NJ
  • NPI 1003349325
  NPD (past)
• Harol Valenzuela, M.D.

  • Nephrology Physician
  • Englewood, NJ
  • NPI 1386030716
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1932112950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 N DEAN ST",
            "address_2": "SUITE 207",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312533",
            "telephone_number": "201-567-0446",
            "fax_number": "201-567-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 N DEAN ST",
            "address_2": "SUITE 207",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312533",
            "telephone_number": "201-567-0446",
            "fax_number": "201-567-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTNER & GRODSTEIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "PATTNER",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-567-0446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0911607",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0396206",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0520004",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7449704",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8262608",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0036803",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jay Pathak, PA-C
• Rolee Pathak, PHARM.D, BCPS
• Patient Care Associates, LLC (SCA Health)
• Patricia K Joseph MD PC
• Karen Lynn Patrusky, MD
• Austin M Pattner, MD
• Theophanis A Pavlou, MD
• Laura Lynn Pawlicky, PA-C
• Pediatric Eyecare of Northern Jersey, P.C.
• Pediatric Urology Associates of New Jersey, PC

• Nephrology Physician in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Nephrology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.