NJ Multi-Specialty Center PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA08462300 Issued in NJ

Legal business name

NJ MULTI-SPECIALTY CENTER PC

Practice address

502 Hamburg Turnpike
Suite 108
Wayne, NJ 07470

Phone

(201) 991-2828

Fax

(732) 587-5486

NPI assigned

Apr 6, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Emad Jacob, M.D

Title

Owner

Phone

(201) 991-2828

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1962866988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 HAMBURG TURNPIKE",
            "address_2": "SUITE 108",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "07470",
            "telephone_number": "201-991-2828",
            "fax_number": "732-587-5486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 HAMBURG TURNPIKE",
            "address_2": "SUITE 108",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "07470",
            "telephone_number": "201-991-2828",
            "fax_number": "732-587-5486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ MULTI-SPECIALTY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "EMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-991-2828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08462300",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA08462300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonard T Nicosia, M.D.
• Nicole Niescieruk, APN, RN
• NJ Healthcare Facilities Management LLC
• NJ Healthcare Facilities Management, LLC
• NJ Medical Rehabilitation, LLC
• Njsurgassist,LLC
• Noel S. Caragian, O.D.,P.a.
• Estania Noel, LPC
• Christine Nolan, OT
• North America Cardiovascular-Interventional Cardiology Akra Institute

• Internal Medicine Physician in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.