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SOUTH MOUNTAIN MEDICAL ASSOCIATES,P.C.
NPI 1861671737
Internal Medicine in West Orange, NJ

Active since October 29, 2007
1500 PLEASANT VALLEY WAY, SUITE 302, WEST ORANGE, NJ 07052(973) 736-8119 Get Directions Write a Review

NPPES record last updated: July 20, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Mountain Medical Associates,p.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH MOUNTAIN MEDICAL ASSOCIATES,P.C. (NPI 1861671737) is a healthcare organization registered as an internal medicine in West Orange, New Jersey and active in the NPI registry since October 2007. The organization lists John Anthony Russo, Physician, as its authorized official.

NPPES Registry Identity

NPI1861671737
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSOUTH MOUNTAIN MEDICAL ASSOCIATES,P.C.
Location Address1500 PLEASANT VALLEY WAY, SUITE 302West Orange, NJ 07052-2956
Mailing Address1500 Pleasant Valley Way, Suite 302West Orange, NJ 07052-2956 · (973) 736-8119
Phone(973) 736-8119
Organization SubpartNo
Authorized OfficialJohn Anthony RussoPhysician · (973) 736-8119
Enumeration DateOctober 29, 2007
Last NPPES UpdateJuly 20, 2012
✔ NPI 1861671737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · MA44815
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1500 PLEASANT VALLEY WAY, West Orange, NJ 07052
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Other Identifiers 2

Medicare UPINE56154NJ
Medicare PIN052570NJ

Group Practice 1

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KAYLA MARTIN GARNER DO
Student in an Organized Health Care Education/Training Program
1500 PLEASANT VALLEY WAY
WEST ORANGE, NJ 07052
Essex County (973) 535-3800
EDWARD M DECTER M.D.
Orthopaedic Surgery
1500 PLEASANT VALLEY WAY, SUITE 101
WEST ORANGE, NJ 07052
Essex County (973) 669-5600
RYAN A RAMIREZ PT
Physical Therapist
1500 PLEASANT VALLEY WAY
WEST ORANGE, NJ 07052
Essex County (973) 325-3422
DR. MICHAEL VINCENT VERDI D.P.M.
Podiatrist
1500 PLEASANT VALLEY WAY, SUITE 204
WEST ORANGE, NJ 07052
Essex County (973) 731-1266
DR. LINCOLN MILLER MD
Internal Medicine (Infectious Disease)
1500 PLEASANT VALLEY WAY, SUITE 201
WEST ORANGE, NJ 07052
Essex County (973) 966-6400
BARRY F WACHTLER PTA
Physical Therapy Assistant
1500 PLEASANT VALLEY WAY, SUITE 102
WEST ORANGE, NJ 07052
Essex County (973) 325-3422
NEIL KAHANOVITZ M.D.
Orthopaedic Surgery
1500 PLEASANT VALLEY WAY, SUITE 101
WEST ORANGE, NJ 07052
Essex County (973) 669-5600
PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC
Occupational Therapist
1500 PLEASANT VALLEY WAY
WEST ORANGE, NJ 07052
Essex County (973) 325-3422

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Mountain Medical Associates,p.C.'s NPI number?

The NPI number for South Mountain Medical Associates,p.C. is 1861671737. It was assigned to this organization in the NPPES registry on October 29, 2007.

Where is South Mountain Medical Associates,p.C. located?

South Mountain Medical Associates,p.C. is located at 1500 Pleasant Valley Way Suite 302, West Orange, NJ 07052. The listed phone number is (973) 736-8119.

What is South Mountain Medical Associates,p.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for South Mountain Medical Associates,p.C. was last updated on July 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.