Organization Active NPI

Richard Edward Constable MD PC

  • Trauma Surgery Physician
  • Woodbridge, NJ
National Provider Identifier
1942333703
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
NJ37639 Issued in NJ
Legal business name
RICHARD EDWARD CONSTABLE MD PC
Practice address
655 Amboy Ave
Suite C
Woodbridge, NJ 07095-3159
Phone
(732) 634-4440
Fax
(732) 634-0069
NPI assigned
Mar 13, 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
Dr. Richard Edward Constable, MDNPI 1376572198
Title
Proprietor
Phone
(732) 634-4440

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0127X NJ37639 NJ Primary

Addresses

Primary practice location

655 Amboy Ave
Suite C
Woodbridge, NJ 07095-3159

Mailing address

655 Amboy Ave
Suite C
Woodbridge, NJ 07095-3159
Phone (732) 634-4440

National Provider Directory

National Provider Directory

Locations

655 Amboy Ave
Ste C
Woodbridge, NJ 07095
Phone (732) 364-4440

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": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942333703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 AMBOY AVE",
            "address_2": "SUITE C",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070953159",
            "telephone_number": "732-634-4440",
            "fax_number": "732-634-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 AMBOY AVE",
            "address_2": "SUITE C",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070953159",
            "telephone_number": "732-634-4440",
            "fax_number": "732-634-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD EDWARD CONSTABLE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONSTABLE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "732-634-4440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": "NJ",
            "license": "NJ37639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, 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.