HIGH MOUNTAIN MEDICAL PC NPI 1134889975

NPI Information

NPI: 1134889975
Provider Name: HIGH MOUNTAIN MEDICAL PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
164 CEDAR AVE
HACKENSACK, NJ
ZIP 07601
Phone: (312) 852-0912
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HIGH MOUNTAIN MEDICAL PC is a family medicine in Hackensack, NJ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HIGH MOUNTAIN MEDICAL PC NPI is 1134889975. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

164 CEDAR AVE
HACKENSACK, NJ
ZIP 07601-956
Phone: (312) 852-0912

The provider's authorized official is Ali Tabarroki .
The authorized official title is Physician and has the following contact phone number (312) 852-0912.

The enumeration date for this NPI number is 12/21/2021 and was last updated on 12/21/2021.

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	207Q00000X	Family Medicine				Yes
2	208VP0014X	Pain Medicine	Interventional Pain Medicine			No

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
1	1952794489	OTHER	NEW YORK	MEDICINE

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: 11/14/2023

NPI Synchronization or Removal

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