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MECCA INTEGRATED MEDICAL CENTER LLC NPI 1427296698


NPI Information

NPI: 1427296698
Provider Name: MECCA INTEGRATED MEDICAL CENTER, LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 31D2103342

Address:
333 A RT 46 WEST
FAIRFIELD, NJ
ZIP 07004
Phone: (973) 493-4300
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MECCA INTEGRATED MEDICAL CENTER, LLC is an internal medicine in Fairfield, NJ. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MECCA INTEGRATED MEDICAL CENTER, LLC NPI is 1427296698. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

333 A RT 46 WEST
FAIRFIELD, NJ
ZIP 07004
Phone: (973) 493-4300
Fax: (973) 933-0903

The provider's authorized official is Michael Sapienza .
The authorized official title is President and has the following contact phone number (201) 247-5499.

The CLIA number assigned to this NPI record is 31D2103342 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/27/2009 and was last updated on 2/10/2011.


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
1111N00000XChiropractorNo
2225100000XPhysical TherapistNo
3207R00000XInternal 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
16411660001MEDICARE NSCNEW 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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