MEDICAL GROUP OF ENGLEWOOD INC NPI 1447445762

NPI Information

NPI: 1447445762
Provider Name: MEDICAL GROUP OF ENGLEWOOD, INC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
140 GRAND AVE
ENGLEWOOD, NJ
ZIP 07631
Phone: (201) 569-9010
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MEDICAL GROUP OF ENGLEWOOD, INC is a specialist in Englewood, 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. MEDICAL GROUP OF ENGLEWOOD, INC NPI is 1447445762. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

140 GRAND AVE
ENGLEWOOD, NJ
ZIP 07631-581
Phone: (201) 569-9010
Fax: (201) 569-9063

The provider's authorized official is Eli S Djebiyan .
The authorized official title is Owner and has the following contact phone number (201) 569-9010.

The enumeration date for this NPI number is 9/10/2007 and was last updated on 4/20/2008.

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		MA0 68121	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	Other Provider Identifier Issuer
1	=========	OTHER	NEW JERSEY	TIN

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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