Organization Active NPI

Pablo a. Arteta, M.D.,P.C.

  • Adult Day Care Clinic/Center
  • West New York, NJ
National Provider Identifier
1992012157
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
25MA5857000 Issued in NJ
Legal business name
PABLO A. ARTETA, M.D.,P.C.
Practice address
426 57TH St
West New York, NJ 07093-2120
Phone
(201) 869-6000
Fax
(201) 869-6622
NPI assigned
Sep 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Authorized official

Name
Dr. Pablo Anibal Arteta, M.D.NPI 1053331579
Title
Owner/Physician
Phone
(201) 803-0042

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
Adult Day Care Clinic/Center 261QA0600X 25MA5857000 NJ Primary

Addresses

Primary practice location

426 57TH St
West New York, NJ 07093-2120

Mailing address

426 57TH St
West New York, NJ 07093-2120
Phone (201) 869-6000

Other identifiers 1

IdentifierTypeStateIssuer
7793006MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100928001660 NJ Part B Supplier - Clinic/Group Practice 3274659164 Receives reassigned benefits from 1 practitioner
Practice locations: West New York, NJ

National Provider Directory

National Provider Directory

Locations

426 57th St
West New York, NJ 07093
Phone (201) 869-6000

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": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1992012157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 57TH ST",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932120",
            "telephone_number": "201-869-6000",
            "fax_number": "201-869-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 57TH ST",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932120",
            "telephone_number": "201-869-6000",
            "fax_number": "201-869-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PABLO A. ARTETA, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "ARTETA",
        "authorized_official_first_name": "PABLO",
        "authorized_official_middle_name": "ANIBAL",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "201-803-0042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NJ",
            "license": "25MA5857000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7793006",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West New York, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.