Second Street Medical Associates in Hackensack - Primary Care
Second Street Medical Associates - NPI 1679522775
Second Street Medical Associates is a Primary Care in Hackensack, New Jersey. Second Street Medical Associates practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Second Street Medical Associates is 1679522775. The last update date is 2013-03-20.
Second Street Medical Associates's current location address is 386 2nd St, Hackensack, New Jersey. You can contact this provider via phone number 2013421877 and fax number 2013421879. The mailing address for Second Street Medical Associates is 386 2nd St, Hackensack, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Second Street Medical Associates |
|---|---|
| Address | 386 2nd St, Hackensack, New Jersey |
| Phone Number | 2013421877 |
| Fax Number | 2013421879 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Woodham G Philip |
| Credentials | MD |
| Telephone Number | 2013421877 |
NPI Number Detail
| NPI Number | 1679522775 |
|---|---|
| Provider Enumeration Date | 2006-05-08 |
| Last Updated Date | 2013-03-20 |
Provider Mailing Address Detail
| Address | 386 2nd St |
|---|---|
| City | Hackensack |
| State | New Jersey (NJ) |
| Post Code | 76012731 |
| Phone Number | 2013421877 |
| Fax Number | 2013421879 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
| Licence No | MA67550 |
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Definition: Serves as the first point of contact for comprehensive healthcare services. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Second Street Medical Associates by the Centers for Medicare & Medicaid Services?
The Second Street Medical Associates has been issued the NPI (National Provider Identifier) 1679522775, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Second Street Medical Associates?
The Second Street Medical Associates is physically situated at 386 2Nd St, in the city of Hackensack, state of NJ, with the postal code 76012731.
What is the Second Street Medical Associates's area of specialization and corresponding taxonomy classification?
The Second Street Medical Associates's specialty field is Primary Care, and it falls under the taxonomy code 261Qp2300X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1679522775 to Second Street Medical Associates?
The Centers for Medicare & Medicaid Services originally issued the 1679522775 to Second Street Medical Associates on 2006-05-08.
As of what date were the details related to Second Street Medical Associates most recently updated or revised?
The information pertaining to Second Street Medical Associates, including its address, specialty, and other relevant details, was last updated or revised on 2013-03-20.