J MEDICAL PRACTICE LLC NPI 1003455072

NPI Information

NPI: 1003455072
Provider Name: J MEDICAL PRACTICE LLC
Classification: Clinic/Center - 261QI0500X
Entity Type: Organization

Specialization: Infusion Therapy

Address:
668 N FOREST DR
TEANECK, NJ
ZIP 07666
Phone: (201) 564-4890
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J MEDICAL PRACTICE LLC is an infusion therapy clinic center in Teaneck, NJ. J MEDICAL PRACTICE LLC NPI is 1003455072. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

668 N FOREST DR
TEANECK, NJ
ZIP 07666-047
Phone: (201) 564-4890

The provider's authorized official is Jonathan Wiesen .
The authorized official title is Owner and has the following contact phone number (201) 564-4890.

The enumeration date for this NPI number is 12/23/2019 and was last updated on 8/7/2023.

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
1	207RC0200X	Internal Medicine	Critical Care Medicine			No
2	261QI0500X	Clinic/Center	Infusion Therapy			Yes

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

NPI Synchronization or Removal

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