NORTH HALEDON MEDICAL NPI 1891733929

NPI Information

NPI: 1891733929
Provider Name: NORTH HALEDON MEDICAL
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
535 HIGH MOUNTAIN RD
SUITE 202
NORTH HALEDON, NJ
ZIP 07508
Phone: (973) 427-6975
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NORTH HALEDON MEDICAL is a specialist in North Haledon, 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. NORTH HALEDON MEDICAL NPI is 1891733929. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

535 HIGH MOUNTAIN RD
SUITE 202
NORTH HALEDON, NJ
ZIP 07508-665
Phone: (973) 427-6975

The provider's authorized official is Anthony J Barravecchio .
The authorized official title is Owner and has the following contact phone number (973) 427-6975.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 4/4/2013.

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		25MB06978600	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	DC3972	OTHER	NEW JERSEY	RAILROAD MEDICARE GROUP #
2	=========	OTHER	NEW JERSEY	GROUP TAX ID #
3	2016613000	OTHER	NEW JERSEY	AMERITHEALTH GROUP #
4	048963	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY	MEDICARE NJ GROUP #

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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