PREVENTION CLINICS LLC NPI 1073981361

NPI Information

NPI: 1073981361
Provider Name: PREVENTION CLINICS LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 31D2197688

Address:
1033 ROUTE 46 STE G1
CLIFTON, NJ
ZIP 07013
Phone: (973) 777-3711
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PREVENTION CLINICS LLC is a primary care clinic center in Clifton, NJ. PREVENTION CLINICS LLC NPI is 1073981361. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1033 ROUTE 46 STE G1
CLIFTON, NJ
ZIP 07013-448
Phone: (973) 777-3711
Fax: (973) 472-3938

The provider's authorized official is Maged T Boutros .
The authorized official title is Owner and has the following contact phone number (973) 777-3711.

The CLIA number assigned to this NPI record is 31D2197688 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/3/2015 and was last updated on 7/21/2022.

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	207R00000X	Internal Medicine		25MA08097300	NEW JERSEY	No
2	261QP2300X	Clinic/Center	Primary Care	25MA08097300	NEW JERSEY	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: 4/28/2024

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