Organization Active NPI

Anthony Inguaggiato, MD PC

  • Cardiovascular Disease Physician
  • Union City, NJ
National Provider Identifier
1962746586
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA05635800 Issued in NJ
Legal business name
ANTHONY INGUAGGIATO, MD PC
Practice address
4302 Palisade Ave
Union City, NJ 07087-5280
Phone
(201) 863-5673
Fax
(201) 549-0259
NPI assigned
Nov 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Authorized official

Name
Anthony Inguaggiato, MDNPI 1336219948
Title
Owner
Phone
(201) 863-5673

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
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 25MA05635800 NJ Primary

Addresses

Primary practice location

4302 Palisade Ave
Union City, NJ 07087-5280

Mailing address

4302 Palisade Ave
Union City, NJ 07087-5280
Phone (201) 863-5673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121203000057 NJ Part B Supplier - Clinic/Group Practice 2769634534 Receives reassigned benefits from 1 practitioner
Practice locations: Union City, NJ

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0972189Anthony Inguaggiato MD PC4302 Palisade Avenue, Union City, NJ 07087Certificate of waiverMar 30, 2028

National Provider Directory

National Provider Directory

Locations

4302 Palisade Ave
Union City, NJ 07087
Phone (201) 863-5673

4302 Palisade Ave
Ste 1
Union City, NJ 07087
Phone (201) 863-5673

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": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1962746586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 PALISADE AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070875280",
            "telephone_number": "201-863-5673",
            "fax_number": "201-549-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 PALISADE AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070875280",
            "telephone_number": "201-863-5673",
            "fax_number": "201-549-0259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY INGUAGGIATO, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "INGUAGGIATO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-863-5673",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA05635800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.