1962809798 NPI number — RHEUMATOLOGY ASSOCIATES OF NORTH JERSEY

Table of content: (NPI 1962809798)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962809798 NPI number — RHEUMATOLOGY ASSOCIATES OF NORTH JERSEY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RHEUMATOLOGY ASSOCIATES OF NORTH JERSEY
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:
1962809798
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/21/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
38 ARIEL ST
Provider Second Line Business Mailing Address:
POB 429
Provider Business Mailing Address City Name:
NOF AYALON
Provider Business Mailing Address State Name:
DN SHIMSHON
Provider Business Mailing Address Postal Code:
99785
Provider Business Mailing Address Country Code:
IL
Provider Business Mailing Address Telephone Number:
201-379-9230
Provider Business Mailing Address Fax Number:
201-603-6530

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1415 QUEEN ANNE RD
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
TEANECK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07666-3521
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-837-7788
Provider Business Practice Location Address Fax Number:
201-837-2077
Provider Enumeration Date:
11/21/2014

Additional Information

Authorized Official

Authorized Official Last Name:
MARCUS
Authorized Official First Name:
RALPH
Authorized Official Middle Name:
E
Authorized Official Title or Position:
PARTER
Authorized Official Telephone Number:
201-837-7788

Provider Taxonomy Codes

  • Taxonomy code: 261QP2300X , with the licence number:  26NN10980100 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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