Active NPI
Endocrinology T&S
- Specialist
- Linden, NJ
National Provider Identifier
1962756304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25MA07379900
- Legal business name
- ENDOCRINOLOGY T&S
- Practice address
- 515 N Wood Ave
Suite 302
Linden, NJ 07036-4173 - Phone
- (908) 925-3300
- Fax
- (908) 925-4300
- NPI assigned
- Nov 7, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bonnie Foti
- Title
- Office Manager
- Phone
- (908) 925-3300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 25MA07379900 | NJ | Primary |
Addresses
Primary practice location
515 N Wood Ave
Suite 302
Linden, NJ 07036-4173
Mailing address
515 N Wood Ave
Suite 302
Linden, NJ 07036-4173
Phone (908) 925-3300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2059077 | Endocrinology T&S | Certificate of waiver | May 16, 2027 |
National Provider Directory
National Provider DirectoryLocations
515 N Wood Ave
Ste 302
Linden, NJ 07036
Phone (908) 925-3300
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Linden, NJ
- NPI 1740200666
-
- Endocrinology, Diabetes & Metabolism Physician
- Muskogee, OK
- NPI 1881925204
NJ
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352246400000",
"number": "1962756304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 N WOOD AVE",
"address_2": "SUITE 302",
"city": "LINDEN",
"state": "NJ",
"postal_code": "070364173",
"telephone_number": "908-925-3300",
"fax_number": "908-925-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 N WOOD AVE",
"address_2": "SUITE 302",
"city": "LINDEN",
"state": "NJ",
"postal_code": "070364173",
"telephone_number": "908-925-3300",
"fax_number": "908-925-4300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENDOCRINOLOGY T&S",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-07",
"last_updated": "2012-11-07",
"status": "A",
"authorized_official_last_name": "FOTI",
"authorized_official_first_name": "BONNIE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "908-925-3300"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NJ",
"license": "25MA07379900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Linden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.