North Jersey Medical Group in Paterson - Specialist

North Jersey Medical Group - NPI 1174732069

North Jersey Medical Group is a Specialist in Paterson, New Jersey. North Jersey Medical Group practices all healthcare services and medical treatments related to Specialist. The NPI Number for North Jersey Medical Group is 1174732069. The last update date is 2008-04-08.

North Jersey Medical Group's current location address is 715 Broadway, Paterson, New Jersey. You can contact this provider via phone number 9736848617. The mailing address for North Jersey Medical Group is 715 Broadway, Paterson, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Organization North Jersey Medical Group
Address 715 Broadway, Paterson, New Jersey
Phone Number 9736848617
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Agarwal Ashoke
Credentials MD
Telephone Number 9736848617

NPI Number Detail

NPI Number 1174732069
Provider Enumeration Date 2007-05-21
Last Updated Date 2008-04-08

Provider Mailing Address Detail

Address 715 Broadway
City Paterson
State New Jersey (NJ)
Post Code 75143406
Phone Number 9736848617
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No MA38759
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1119516 NJ HORIZON NJ HEALTH
2497031 AETNA
8430306 NJ --

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FAQs about North Jersey Medical Group

What is the unique identifier code issued to North Jersey Medical Group by the Centers for Medicare & Medicaid Services (CMS)?

The North Jersey Medical Group has been assigned the NPI (National Provider Identifier) 1174732069. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where North Jersey Medical Group's facilities are situated?

The facilities of North Jersey Medical Group are physically located at the following address: 715 Broadway, Paterson, NJ, 75143406.

What is North Jersey Medical Group's specialized field of practice, and what is the corresponding taxonomy classification code?

The North Jersey Medical Group's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1174732069 to North Jersey Medical Group?

The North Jersey Medical Group received its 1174732069 assignment from the Centers for Medicare & Medicaid Services on 2007-05-21.

When was the information related to North Jersey Medical Group most recently updated or refreshed?

The details pertaining to the North Jersey Medical Group, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-04-08.

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