ALEXIS SORAZON MD & RAMON SANDOVAL MD GREAT FALLS MEDICAL CENTER NPI 1154377877

NPI Information

NPI: 1154377877
Provider Name: ALEXIS SORAZON MD & RAMON SANDOVAL MD GREAT FALLS MEDICAL CENTER
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
355 TOTOWA AVE
PATERSON, NJ
ZIP 07502
Phone: (973) 389-1300
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ALEXIS SORAZON MD & RAMON SANDOVAL MD GREAT FALLS MEDICAL CENTER is a specialist in Paterson, NJ. The provider is 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. ALEXIS SORAZON MD & RAMON SANDOVAL MD GREAT FALLS MEDICAL CENTER NPI is 1154377877. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

355 TOTOWA AVE
PATERSON, NJ
ZIP 07502-125
Phone: (973) 389-1300

The provider's authorized official is Alexis Corazon .
The authorized official title is Owner and has the following contact phone number (973) 389-1300.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 6/27/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		MA63961	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	901381	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY
2	G47943	MEDICARE UPIN	NEW JERSEY
3	7232900	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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