INTERNAL MEDICINE AND GERIATRICS PRACTICE INC NPI 1598803264

NPI Information

NPI: 1598803264
Provider Name: INTERNAL MEDICINE AND GERIATRICS PRACTICE, INC

Other Name: IM&GP

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1414 MAIN AVE
SUITE B
CLIFTON, NJ
ZIP 07011
Phone: (973) 253-6000
Get Directions

INTERNAL MEDICINE AND GERIATRICS PRACTICE, INC is a primary care clinic center in Clifton, NJ. INTERNAL MEDICINE AND GERIATRICS PRACTICE, INC NPI is 1598803264. The provider is registered as an organization entity type.
The provider Other Name Is Im&gp.

The provider's business location address is:

1414 MAIN AVE
SUITE B
CLIFTON, NJ
ZIP 07011-157
Phone: (973) 253-6000
Fax: (973) 253-6009

The provider's authorized official is Waleed S Lashin .
The authorized official title is President and has the following contact phone number (973) 253-6000.

The CLIA number assigned to this NPI record is 31D1086459 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 8/26/2010.

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	261QP2300X	Clinic/Center	Primary Care	MA07809300	NEW JERSEY	Yes

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
1	090415	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY
2	I28596	MEDICARE UPIN	NEW JERSEY
3	0064394	MEDICAID	NEW 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

NPI Synchronization or Removal

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