Active NPIOrganization

Selevany Medical Group, INC

Specialist in Clifton, New Jersey

NPI Number1033269915
Practice location
1003 Main Ave, Clifton, NJ 07011-2333
Fax
973-777-1311
Last updated
February 9, 2012

Selevany Medical Group, INC is a healthcare organization based in Clifton, NJ. Selevany Medical Group, INC practices in Clifton, NJ. The NPI Number for Selevany Medical Group, INC is 1033269915 and holds a License No. 25MA06471000 (NJ). The current practice location address for Selevany Medical Group, INC is 1003 Main Ave, Clifton, NJ 07011-2333 and can be reached out via phone at 973-777-9595 and via fax at 973-777-1311.

Provider Profile Details

NPI Number
1033269915
Provider Name
Selevany Medical Group, INC
Provider Entity Type
Organization
Address
1003 Main Ave, Clifton, NJ 07011-2333
Phone Number
973-777-9595
Fax Number
973-777-1311
Primary Taxonomy
Specialist · 174400000X
Organization Subpart
No
Authorized Official
Dr. Muhammad Tahir Selevany, MD · Physician · 973-777-9595
Provider Enumeration Date
January 11, 2007
Last Update Date
February 9, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
1003 Main Ave
Clifton, NJ 07011-2333
Zip
07011-2333
Phone Number
973-777-9595
Fax Number
973-777-1311
Clifton, NJ 07011Get directions →

Provider Business Mailing Address Details

Address
1003 Main Ave
Clifton, NJ 07011-2333
City
Clifton
State
NJ
Zip
07011-2333
Phone Number
973-777-9595
Fax Number
973-777-1311

License Information

License Number
25MA06471000
License State
NJ
Taxonomy
Specialist · 174400000X · 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 Selevany Medical Group, INC?

The NPI number of Selevany Medical Group, INC is 1033269915. It was assigned on January 11, 2007 and is currently active in the NPPES registry.

What is the specialty of Selevany Medical Group, INC?

Selevany Medical Group, INC is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number 25MA06471000.

Where does Selevany Medical Group, INC practice?

The practice location is 1003 Main Ave, Clifton, NJ 07011-2333. The office can be reached at 973-777-9595 (phone) or 973-777-1311 (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 1033269915 directly on the NPPES registry website.

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