METAMORPHOSIS MEDICAL SPA NPI 1679239560

NPI Information

NPI: 1679239560
Provider Name: METAMORPHOSIS MEDICAL SPA
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
2024 MACOPIN RD STE E
WEST MILFORD, NJ
ZIP 07480
Phone: (973) 545-4055
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METAMORPHOSIS MEDICAL SPA is a family nurse practitioner in West Milford, NJ. METAMORPHOSIS MEDICAL SPA NPI is 1679239560. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2024 MACOPIN RD STE E
WEST MILFORD, NJ
ZIP 07480-900
Phone: (973) 545-4055
Fax: (973) 506-6728

The provider's authorized official is Paul Babitz .
The authorized official title is President and has the following contact phone number (973) 506-4055.

The enumeration date for this NPI number is 11/15/2021 and was last updated on 11/17/2021.

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	111N00000X	Chiropractor				No
2	363LF0000X	Nurse Practitioner	Family			Yes

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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