Grace Melendez is a General Practice in Clifton, New Jersey. Grace Melendez practices all healthcare services and medical treatments related to General Practice. The NPI Number for Grace Melendez is 1710971676. The last update date is 2009-04-06.
Grace Melendez's current location address is 642 Broad St, Clifton, New Jersey. You can contact this provider via phone number 9736149500. The mailing address for Grace Melendez is 642 Broad St, Clifton, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Grace Melendez |
|---|---|
| Address | 642 Broad St, Clifton, New Jersey |
| Phone Number | 9736149500 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1710971676 |
|---|---|
| Provider Enumeration Date | 2005-09-07 |
| Last Updated Date | 2009-04-06 |
Provider Mailing Address Detail
| Address | 642 Broad St |
|---|---|
| City | Clifton |
| State | New Jersey (NJ) |
| Post Code | 70131615 |
| Phone Number | 9736149500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 25MA05874300 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5508801 | NJ | -- |
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What is the unique identification code assigned to Grace Melendez by the Centers for Medicare & Medicaid Services?
The Grace Melendez has been issued the NPI (National Provider Identifier) 1710971676. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Grace Melendez is located?
The Grace Melendez is situated at the following address: 642 Broad St, Clifton, NJ, 70131615.
What is the Grace Melendez's area of specialization and corresponding taxonomy classification?
The Grace Melendez's specialty field is General Practice, and it falls under the taxonomy code 208D00000X, which categorizes healthcare providers based on their specialties.
On what date did Grace Melendez receive its 1710971676 assignment from the Centers for Medicare & Medicaid Services?
The Grace Melendez was assigned its 1710971676 on 2005-09-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Grace Melendez most recently updated or refreshed?
The details pertaining to the Grace Melendez, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-04-06.