DAUGHTERS OF MIRIAM CTR PHYSICIAN GROUP NPI 1699859249

NPI Information

  • NPI: 1699859249
  • Provider Name: DAUGHTERS OF MIRIAM CTR PHYSICIAN GROUP
  • Classification: Internal Medicine - 207RG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Organization
  • Address: 155 HAZEL ST
    CLIFTON, NJ
    ZIP 07011
  • Phone: (973) 253-5210

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NPI Details

DAUGHTERS OF MIRIAM CTR PHYSICIAN GROUP is a geriatric medicine internal medicine in Clifton, NJ. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. DAUGHTERS OF MIRIAM CTR PHYSICIAN GROUP NPI is 1699859249. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

155 HAZEL ST
CLIFTON, NJ
ZIP 07011-423
Phone: (973) 253-5210
Fax: (973) 772-8243

The provider's authorized official is Frank Dasilva .
The authorized official title is Chief Financial Officer and has the following contact phone number (973) 253-5210.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 8/22/2020.

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
1207RG0300XInternal MedicineGeriatric MedicineYes
2213E00000XPodiatristX

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
17063202MEDICAIDNEW 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: 3/30/2025

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