1023306909 NPI number — R&M LLC.

Table of content: (NPI 1023306909)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023306909 NPI number — R&M LLC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
R&M LLC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023306909
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/18/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
73 PARK AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TEANECK
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07666-3831
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
917-569-7103
Provider Business Mailing Address Fax Number:
914-652-7231

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1870 GRAND CONCOURSE
Provider Second Line Business Practice Location Address:
2ND FLOOR
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10457-5476
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
917-569-7103
Provider Business Practice Location Address Fax Number:
914-652-7231
Provider Enumeration Date:
07/13/2011

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MOHAMMED
Authorized Official First Name:
ROMEEDA
Authorized Official Middle Name:
Authorized Official Title or Position:
NURSE PRACTITIONER
Authorized Official Telephone Number:
917-569-7103

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LP0808X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 364SA2200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 364SP0809X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)