PASSAIC COUNTY INTEGRATED NPI 1821174079

NPI Information

  • NPI: 1821174079
  • Provider Name: PASSAIC COUNTY INTEGRATED
  • Classification: Family Medicine - 207QG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Organization
  • Address: 606 BROADWAY
    PATERSON, NJ
    ZIP 07514
  • Phone: (973) 278-8818

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NPI Details

PASSAIC COUNTY INTEGRATED is a geriatric medicine family medicine in Paterson, NJ. The provider is a family medicine physician with 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. PASSAIC COUNTY INTEGRATED NPI is 1821174079. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

606 BROADWAY
PATERSON, NJ
ZIP 07514-916
Phone: (973) 278-8818
Fax: (973) 278-6841

The provider's authorized official is Jose R Sanchez Pena .
The authorized official title is Owner and has the following contact phone number (973) 278-8818.

The enumeration date for this NPI number is 10/31/2006 and was last updated on 4/20/2008.

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
1207RC0000XInternal MedicineCardiovascular DiseaseNo
2207RP1001XInternal MedicinePulmonary DiseaseNo
32085R0202XRadiologyDiagnostic RadiologyNo
4207QG0300XFamily MedicineGeriatric MedicineYes

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
1043361MEDICARE PINNEW JERSEY
26846505MEDICAIDNEW JERSEY
3=========OTHERNEW JERSEYTAX ID

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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