South Mountain Medical Consultants P C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA037919 Issued in NJ

Legal business name

SOUTH MOUNTAIN MEDICAL CONSULTANTS P C

Practice address

1500 Pleasant Valley Way Ste 206
West Orange, NJ 07052-2956

Phone

(973) 324-1200

Fax

(973) 736-6818

NPI assigned

Oct 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Rothkopf, MDNPI 1821137225

Title

President

Phone

(973) 324-1200

Specialties & licenses 1

Addresses

Other names 1

• Osteoporosis Prevention Former legal business name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19842/brand/1/csg/1/fhir/r4

Practitioners 2

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

• Michael M. Rothkopf, MD

  • Internal Medicine Physician
  • West Orange, NJ
  • NPI 1821137225

  NJ

  Medicare reassignment Authorized official
• George Ralph Kuntz, MD

  • Internal Medicine Physician
  • West Orange, NJ
  • NPI 1962556233

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718409600000",
    "number": "1932398047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 PLEASANT VALLEY WAY STE 206",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522956",
            "telephone_number": "973-324-1200",
            "fax_number": "973-736-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PLEASANT VALLEY WAY STE 206",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522956",
            "telephone_number": "973-324-1200",
            "fax_number": "973-736-6818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH MOUNTAIN MEDICAL CONSULTANTS P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2024-06-15",
        "certification_date": "2024-06-15",
        "status": "A",
        "authorized_official_last_name": "ROTHKOPF",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-324-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA037919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Osteoporosis Prevention",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Osteoporosis Prevention",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Craig Soriano, DPT
• Angelica Rose Sorisi, ANP
• Angelica Maria Soto-Pereira, M.D.
• Louis Souffrant, LPN
• South Mountain Medical Associates,P.C.
• South Orange Womens Care, LLC
• Kelsey Lynn Spear, MD
• Specialists in Otolaryngology LLC
• Speech Ladder Inc
• Shani F Spence

• All providers in West Orange, NJ
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2024; 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.