MEREDIAN MEDICAL PC NPI 1811233117

NPI Information

NPI: 1811233117
Provider Name: MEREDIAN MEDICAL PC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
412 PLEASANT VALLEY WAY
SUITE 201
WEST ORANGE, NJ
ZIP 07052
Phone: (973) 731-9707
Get Directions

MEREDIAN MEDICAL PC is a general practice in West Orange, NJ. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MEREDIAN MEDICAL PC NPI is 1811233117. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

412 PLEASANT VALLEY WAY
SUITE 201
WEST ORANGE, NJ
ZIP 07052-988
Phone: (973) 731-9707

The provider's authorized official is Liliya Yanovskaya .
The authorized official title is President and has the following contact phone number (973) 731-9707.

The enumeration date for this NPI number is 12/14/2012 and was last updated on 12/14/2012.

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	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	25MA06715400	No
2	207UN0901X	Nuclear Medicine	Nuclear Cardiology	25MA06715400	No
3	208D00000X	General Practice		25MA06715400	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	8271101	MEDICAID	NEW JERSEY
2	089045	MEDICARE PIN	NEW JERSEY
3	H35636	MEDICARE UPIN	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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