Mill Gardens At Midland Park in Midland Park - Exclusive Provider Organization
Mill Gardens At Midland Park - NPI 1942415617
Mill Gardens At Midland Park is a Exclusive Provider Organization in Midland Park, New Jersey. Mill Gardens At Midland Park practices all healthcare services and medical treatments related to Exclusive Provider Organization. The NPI Number for Mill Gardens At Midland Park is 1942415617. The last update date is 2008-11-25.
Mill Gardens At Midland Park's current location address is 36 Faner Rd, Midland Park, New Jersey. You can contact this provider via phone number 2014937400 and fax number 2014937374. The mailing address for Mill Gardens At Midland Park is 36 Faner Rd, Midland Park, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mill Gardens At Midland Park |
|---|---|
| Address | 36 Faner Rd, Midland Park, New Jersey |
| Phone Number | 2014937400 |
| Fax Number | 2014937374 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Drivanos Nicholas |
| Credentials | C.A.L.A. |
| Telephone Number | 2014937400 |
NPI Number Detail
| NPI Number | 1942415617 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2008-11-25 |
Provider Mailing Address Detail
| Address | 36 Faner Rd |
|---|---|
| City | Midland Park |
| State | New Jersey (NJ) |
| Post Code | 74321719 |
| Phone Number | 2014937400 |
| Fax Number | 2014937374 |
Provider's Primary Taxonomy Detail
| Speciality | Exclusive Provider Organization |
|---|---|
| Taxonomy | 302F00000X |
| Licence No | LRR782 |
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Definition: (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage f |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8822000 | NJ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mill Gardens At Midland Park by the Centers for Medicare & Medicaid Services?
The Mill Gardens At Midland Park has been assigned the NPI (National Provider Identifier) 1942415617 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Mill Gardens At Midland Park?
The Mill Gardens At Midland Park is situated at 36 Faner Rd, in the city of Midland Park, state of NJ, with the zip code 74321719.
What is the area of specialization for Mill Gardens At Midland Park, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mill Gardens At Midland Park is Exclusive Provider Organization, and the corresponding taxonomy code that categorizes this area of expertise is 302F00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1942415617 to Mill Gardens At Midland Park?
The Centers for Medicare & Medicaid Services assigned the 1942415617 to Mill Gardens At Midland Park on 2007-05-14.
When was the information regarding Mill Gardens At Midland Park, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mill Gardens At Midland Park, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-11-25.