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HIGHLAND MEDICAL GROUP OF NEW JERSEY PC NPI 1679865604


NPI Information

NPI: 1679865604
Provider Name: HIGHLAND MEDICAL GROUP OF NEW JERSEY, PC

Doing Business As: MILLENNIUM MEDICAL GROUP, PC

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
126 STATE ST
FL 1
HACKENSACK, NJ
ZIP 07601
Phone: (973) 574-2070
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HIGHLAND MEDICAL GROUP OF NEW JERSEY, PC is a specialist in Hackensack, NJ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. HIGHLAND MEDICAL GROUP OF NEW JERSEY, PC NPI is 1679865604. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Millennium Medical Group, Pc.

The provider's business location address is:

126 STATE ST
FL 1
HACKENSACK, NJ
ZIP 07601-448
Phone: (973) 574-2070
Fax: (973) 574-2090

The provider's authorized official is Alexandr Zaitsev .
The authorized official title is Owner and has the following contact phone number (973) 574-2070.

The enumeration date for this NPI number is 5/10/2011 and was last updated on 7/12/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist25MA07388400NEW JERSEYYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1225619MEDICARE UPINNEW 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: 11/14/2023

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