Avicenna Medical Center
Psychologist, Prescribing (Medical) in Montclair, New Jersey
1073904801- Practice location
- 129 Valley RD, 2ND Floor, Montclair, NJ 07042-2331
- Phone
- 973-746-2620
- Fax
- 973-746-2579
- Last updated
- February 16, 2015
Avicenna Medical Center is a healthcare organization based in Montclair, NJ. Avicenna Medical Center practices in Montclair, NJ. The NPI Number for Avicenna Medical Center is 1073904801 and holds a License No. 25MB07627000 (NJ). The current practice location address for Avicenna Medical Center is 129 Valley RD, 2ND Floor, Montclair, NJ 07042-2331 and can be reached out via phone at 973-746-2620 and via fax at 973-746-2579.
Provider Profile Details
- NPI Number
- 1073904801
- Provider Name
- Avicenna Medical Center
- Provider Entity Type
- Organization
- Address
- 129 Valley RD, 2ND Floor, Montclair, NJ 07042-2331
- Phone Number
- 973-746-2620
- Fax Number
- 973-746-2579
- Primary Taxonomy
- Psychologist, Prescribing (Medical) · 103TP0016X
- Organization Subpart
- No
- Authorized Official
- Dr. Anna Michele Rossi, DO · President/Psychiatrist · 973-746-2620
- Provider Enumeration Date
- February 16, 2015
- Last Update Date
- February 16, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 129 Valley RD
2ND Floor
Montclair, NJ 07042-2331 - City
- Montclair
- State
- New Jersey
- Zip
- 07042-2331
- Phone Number
- 973-746-2620
- Fax Number
- 973-746-2579
Provider Business Mailing Address Details
- Address
- 129 Valley RD
2ND Floor
Montclair, NJ 07042-2331 - City
- Montclair
- State
- NJ
- Zip
- 07042-2331
- Phone Number
- 973-746-2620
- Fax Number
- 973-746-2579
License Information
- License Number
- 25MB07627000
- License State
- NJ
- Taxonomy
- Psychologist, Prescribing (Medical) · 103TP0016X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Avicenna Medical Center?
The NPI number of Avicenna Medical Center is 1073904801. It was assigned on February 16, 2015 and is currently active in the NPPES registry.
What is the specialty of Avicenna Medical Center?
Avicenna Medical Center is registered under the primary taxonomy Psychologist, Prescribing (Medical) (code 103TP0016X), licensed in NJ under license number 25MB07627000.
Where does Avicenna Medical Center practice?
The practice location is 129 Valley RD, 2ND Floor, Montclair, NJ 07042-2331. The office can be reached at 973-746-2620 (phone) or 973-746-2579 (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 1073904801 directly on the NPPES registry website.