East Orange Medical Practice
NPI 1114116175 · Internal Medicine Physician · East Orange, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
East Orange Medical Practice is a Internal Medicine Physician organization in East Orange, NJ (NPI 1114116175).
Provider details
- NPI number
- 1114116175
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Clarke, Director(973) 674-8100
- License
- 25MA08005400 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-10-16
- Last updated
- 2007-10-16
Frequently asked questions
- What is East Orange Medical Practice's NPI number?
- East Orange Medical Practice's National Provider Identifier (NPI) is 1114116175, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Orange Medical Practice?
- East Orange Medical Practice is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is East Orange Medical Practice located?
- East Orange Medical Practice's practice location on file with NPPES is 108 S Munn Ave, East Orange, NJ 07018-3402.
- What is East Orange Medical Practice's phone number?
- The practice phone number listed in the NPPES registry for East Orange Medical Practice is (973) 674-8100.
- Does East Orange Medical Practice accept Medicare?
- East Orange Medical Practice is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for East Orange Medical Practice?
- The authorized official listed on East Orange Medical Practice's NPPES record is Robert Clarke, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Orange Medical Practice's NPI active?
- Yes — East Orange Medical Practice's NPI (1114116175) is active in the NPPES registry as of the last update on 2007-10-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.