NORTH JERSEY DIABETES & ENDOCRINOLOGY, P.A. NPI 1013160217

Internal Medicine (Endocrinology, Diabetes & Metabolism) in Fair Lawn, NJ

NPI 1013160217 Organization Internal Medicine Endocrinology, Diabetes & Metabolism

About NORTH JERSEY DIABETES & ENDOCRINOLOGY, P.A.

North Jersey Diabetes & Endocrinology, P.a. is an internal medicine provider established in Fair Lawn, New Jersey specializing in internal medicine (endocrinology, diabetes & metabolism) . The NPI number of North Jersey Diabetes & Endocrinology, P.a. is 1013160217 and was assigned on October 2008. The practitioner's primary taxonomy code is 207RE0101X with license number 25MA07861800 (NJ). The provider is registered as an organization and their NPI record was last updated 13 years ago. North Jersey Diabetes & Endocrinology, P.a. operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Merab Joseph M.d. (President)

An internist like North Jersey Diabetes & Endocrinology, P.a. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

NPI

1013160217

Provider NameNORTH JERSEY DIABETES & ENDOCRINOLOGY, P.A.
Provider Location Address24-07 BROADWAY FAIR LAWN, NJ 07410
Provider Mailing Address24-07 BROADWAY FAIR LAWN, NJ 07410
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date10-31-2008
Last Update Date11-17-2008


Primary Taxonomy

Taxonomy Code207RE0101X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationEndocrinology, Diabetes & Metabolism
License No.25MA07861800
License StateNJ
Taxonomy DescriptionAn internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Business Address

NORTH JERSEY DIABETES & ENDOCRINOLOGY, P.A.
24-07 BROADWAY
FAIR LAWN, NJ
ZIP 07410
Phone: (201) 796-4600
Fax: (201) 796-4666

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Mailing Address

NORTH JERSEY DIABETES & ENDOCRINOLOGY, P.A.
24-07 BROADWAY
FAIR LAWN, NJ
ZIP 07410
Phone: (201) 796-4600
Fax: (201) 796-4666



Authorized Official

Authorized Official NameDR. MERAB JOSEPH M.D.
Authorized Official TitlePRESIDENT
Authorized Official Phone(201) 796-4600

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
136189MEDICARE PIN (08)NJ
I01570MEDICARE UPIN (02)NJ

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1053421032DR. MERAB JOSEPH M.D.
Individual
Specialist24-07 BROADWAY
FAIR LAWN, NJ 07410
(201) 796-4600

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.