Active NPIOrganization

Superior Physical Medicine LLC

Internal Medicine in Montclair, New Jersey

NPI Number1114327186
Practice location
309 Orange RD, Montclair, NJ 07042-4451
Fax
973-839-3653
Last updated
August 27, 2014

Superior Physical Medicine LLC is a healthcare organization based in Montclair, NJ. Superior Physical Medicine LLC practices in Montclair, NJ. The NPI Number for Superior Physical Medicine LLC is 1114327186. The current practice location address for Superior Physical Medicine LLC is 309 Orange RD, Montclair, NJ 07042-4451 and can be reached out via phone at 973-783-3606 and via fax at 973-839-3653.

Provider Profile Details

NPI Number
1114327186
Provider Name
Superior Physical Medicine LLC
Provider Entity Type
Organization
Address
309 Orange RD, Montclair, NJ 07042-4451
Phone Number
973-783-3606
Fax Number
973-839-3653
Primary Taxonomy
Internal Medicine · 207R00000X
Organization Subpart
No
Authorized Official
Dr. William B Holder, MD · Provider/Owner · 973-839-1003
Provider Enumeration Date
August 27, 2014
Last Update Date
August 27, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
309 Orange RD
Montclair, NJ 07042-4451
Zip
07042-4451
Phone Number
973-783-3606
Fax Number
973-839-3653
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
309 Orange RD
Montclair, NJ 07042-4451
City
Montclair
State
NJ
Zip
07042-4451
Phone Number
973-783-3606
Fax Number
973-839-3653

License Information

Taxonomy (1)
Nurse Practitioner · 363L00000X
License State (2)
NJ
Taxonomy (2)
Internal Medicine · 207R00000X · 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 Superior Physical Medicine LLC?

The NPI number of Superior Physical Medicine LLC is 1114327186. It was assigned on August 27, 2014 and is currently active in the NPPES registry.

What is the specialty of Superior Physical Medicine LLC?

Superior Physical Medicine LLC is registered under the primary taxonomy Internal Medicine (code 207R00000X).

Where does Superior Physical Medicine LLC practice?

The practice location is 309 Orange RD, Montclair, NJ 07042-4451. The office can be reached at 973-783-3606 (phone) or 973-839-3653 (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 1114327186 directly on the NPPES registry website.

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