Active NPI
Mag Group PC
- Specialist
- Wayne, NJ
National Provider Identifier
1972742732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25MA07388400
- Legal business name
- MAG GROUP PC
- Practice address
- 25 Knoll Rd
Wayne, NJ 07470-6125 - Phone
- (862) 226-9549
- NPI assigned
- Feb 18, 2009
- 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
- Dr. Alexander Zaitsev, MD
- Title
- Owner
- Phone
- (973) 907-2358
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 25MA07388400 | NJ | Primary |
Addresses
Primary practice location
25 Knoll Rd
Wayne, NJ 07470-6125
Mailing address
25 Knoll Rd
Wayne, NJ 07470-6125
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25MA07388400 | Other | NJ | NJ LICENSE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234915200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1234915200000",
"number": "1972742732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 KNOLL RD",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074706125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 KNOLL RD",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074706125",
"telephone_number": "862-226-9549"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAG GROUP PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-18",
"last_updated": "2009-02-18",
"status": "A",
"authorized_official_last_name": "ZAITSEV",
"authorized_official_first_name": "ALEXANDER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "973-907-2358",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NJ",
"license": "25MA07388400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NJ LICENSE",
"identifier": "25MA07388400",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.