EISENMAN MEDICAL GROUP LLC NPI 1962185074

NPI Information

NPI: 1962185074
Provider Name: EISENMAN MEDICAL GROUP LLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 31D2290277

Address:
706 PASSAIC AVE
CLIFTON, NJ
ZIP 07012
Phone: (201) 463-8933
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EISENMAN MEDICAL GROUP LLC is an urgent care clinic center in Clifton, NJ. EISENMAN MEDICAL GROUP LLC NPI is 1962185074. The provider is registered as an organization entity type.

The provider's business location address is:

706 PASSAIC AVE
CLIFTON, NJ
ZIP 07012-847
Phone: (201) 463-8933

The provider's authorized official is Avraham Eisenman .
The authorized official title is Owner and has the following contact phone number (201) 463-8933.

The CLIA number assigned to this NPI record is 31D2290277 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/8/2023 and was last updated on 10/10/2023.

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	261QU0200X	Clinic/Center	Urgent Care			Yes

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

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