Active NPIIndividual provider

Dr. Carlos A Quezada, MD

Family Medicine in Englewood, New Jersey

NPI Number1033123914
Practice location
370 Grand Ave, 102, Englewood, NJ 07631-4154
Fax
201-816-1265
Last updated
July 9, 2007

Carlos Alberto Quezada is a Family Medicine based in Englewood, NJ. Carlos Alberto Quezada practices in Englewood, NJ and has the professional credentials of MD. The NPI Number for Carlos Alberto Quezada is 1033123914 and holds a License No. 25MA05609900 (NJ). The current practice location address for Carlos Alberto Quezada is 370 Grand Ave, 102, Englewood, NJ 07631-4154 and can be reached out via phone at 201-567-3370 and via fax at 201-816-1265.

Provider Profile Details

NPI Number
1033123914
Provider Name
Carlos Alberto Quezada
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
370 Grand Ave, 102, Englewood, NJ 07631-4154
Phone Number
201-567-3370
Fax Number
201-816-1265
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
July 28, 2006
Last Update Date
July 9, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
370 Grand Ave
102
Englewood, NJ 07631-4154
Zip
07631-4154
Phone Number
201-567-3370
Fax Number
201-816-1265
Englewood, NJ 07631Get directions →

Provider Business Mailing Address Details

Address
173 Johnston Dr
Watchung, NJ 07069-4927
City
Watchung
State
NJ
Zip
07069-4927
Phone Number
908-723-0224
Fax Number
908-755-9326

License Information

License Number
25MA05609900
License State
NJ
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Carlos A Quezada, MD?

The NPI number of Dr. Carlos A Quezada, MD is 1033123914. It was assigned on July 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Carlos A Quezada, MD?

Dr. Carlos A Quezada, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MA05609900.

Where does Dr. Carlos A Quezada, MD practice?

The practice location is 370 Grand Ave, 102, Englewood, NJ 07631-4154. The office can be reached at 201-567-3370 (phone) or 201-816-1265 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033123914 directly on the NPPES registry website.

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