Organization Active NPI

Endocrinology T&S

  • Specialist
  • Linden, NJ
National Provider Identifier
1962756304
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA07379900 Issued in NJ
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

Updated by the provider on Nov 7, 2012

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20130522000271 NJ Part B Supplier - Clinic/Group Practice 1759529233 Receives reassigned benefits from 2 practitioners
Practice locations: Linden, 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
31D2059077Endocrinology T&S515 N Wood Avenue, Linden, NJ 07036Certificate of waiverMay 16, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.