Provider Demographics
NPI:1386950855
Name:NORTH JERSEY RHEUMATOLOGY ASSOCIATES P.C.
Entity type:Organization
Organization Name:NORTH JERSEY RHEUMATOLOGY ASSOCIATES P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GUMA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:201-998-2800
Mailing Address - Street 1:289 WOODFIELD RD
Mailing Address - Street 2:
Mailing Address - City:TOWNSHIP OF WASHINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07676-4828
Mailing Address - Country:US
Mailing Address - Phone:201-998-2800
Mailing Address - Fax:201-998-0800
Practice Address - Street 1:312 BELLEVILLE TPKE
Practice Address - Street 2:
Practice Address - City:NORTH ARLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07031-6463
Practice Address - Country:US
Practice Address - Phone:201-998-2800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-23
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB055634207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJF51233Medicare UPIN
NJ732745Medicare PIN