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HIGH CREST MEDICAL LLC NPI 1033444021


NPI Information

NPI: 1033444021
Provider Name: HIGH CREST MEDICAL, LLC

Doing Business As: HIGH CREST HEALTH

Classification: Internal Medicine - 207RA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
50 FAIRFIELD RD
FAIRFIELD, NJ
ZIP 07004
Phone: (973) 808-5550
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HIGH CREST MEDICAL, LLC is an addiction medicine internal medicine in Fairfield, NJ. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. HIGH CREST MEDICAL, LLC NPI is 1033444021. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As High Crest Health.

The provider's business location address is:

50 FAIRFIELD RD
FAIRFIELD, NJ
ZIP 07004-414
Phone: (973) 808-5550
Fax: (973) 808-5999

The provider's authorized official is Eugene L Evans .
The authorized official title is Physician and has the following contact phone number (973) 808-5550.

The enumeration date for this NPI number is 10/8/2009 and was last updated on 10/8/2009.


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
1207RS0010XInternal MedicineSports MedicineNo
2207RA0401XInternal MedicineAddiction MedicineYes

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
1044862WGEOTHERNEW JERSEYMEDICARE RENDERING PROVIDER NUMBER
2110408MEDICARE PIN
3F96513MEDICARE UPINNEW JERSEY

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

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