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31D1052817 CLIA NUMBER - NORTH JERSEY INTERNAL MEDICINE

Laboratory Demographics

CLIA Number: 31D1052817

Facility Name: NORTH JERSEY INTERNAL MEDICINE

Facility Address:
92 SUMMIT AVENUE
HACKENSACK, NJ
ZIP 07601
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Facility Phone Number: 201 342-0066

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1114027885

Taxonomy: 207R00000X - Internal Medicine
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.

CLIA Record

Field Name Field Value
CLIA Number 31D1052817
LAB Type Physician Office
Facility Name NORTH JERSEY INTERNAL MEDICINE
Street 92 SUMMIT AVENUE
City HACKENSACK
State NJ
ZIP 07601
Phone 201 342-0066
CertificateType 4
CertificateEffectiveDate 4/5/2024
CertificateExpirationDate 4/4/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024