Primary Care Medical Group PA
Internal Medicine in Harrison, New Jersey
1134386410- Practice location
- 450 Bergen St, Harrison, NJ 07029-2291
- Phone
- 973-484-6900
- Fax
- 973-484-0029
- Last updated
- June 4, 2008
Primary Care Medical Group PA is a healthcare organization based in Harrison, NJ. Primary Care Medical Group PA practices in Harrison, NJ. The NPI Number for Primary Care Medical Group PA is 1134386410 and holds a License No. 31348 (NJ). The current practice location address for Primary Care Medical Group PA is 450 Bergen St, Harrison, NJ 07029-2291 and can be reached out via phone at 973-484-6900 and via fax at 973-484-0029.
Provider Profile Details
- NPI Number
- 1134386410
- Provider Name
- Primary Care Medical Group PA
- Provider Entity Type
- Organization
- Address
- 450 Bergen St, Harrison, NJ 07029-2291
- Phone Number
- 973-484-6900
- Fax Number
- 973-484-0029
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Organization Subpart
- No
- Authorized Official
- Ralph S D'Agostino, MD · Owner · 973-484-6900
- Other Names
- Medical Surgical Associates (Former Legal Business Name)
- Provider Enumeration Date
- May 22, 2008
- Last Update Date
- June 4, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 450 Bergen St
Harrison, NJ 07029-2291 - City
- Harrison
- State
- New Jersey
- Zip
- 07029-2291
- Phone Number
- 973-484-6900
- Fax Number
- 973-484-0029
Provider Business Mailing Address Details
- Address
- 450 Bergen St
Harrison, NJ 07029-2291 - City
- Harrison
- State
- NJ
- Zip
- 07029-2291
- Phone Number
- 973-484-6900
- Fax Number
- 973-484-0029
License Information
- License Number
- 31348
- License State
- NJ
- Taxonomy
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine providers near Harrison, NJ
View all Internal Medicine providers in Harrison →Frequently Asked Questions
What is the NPI number of Primary Care Medical Group PA?
The NPI number of Primary Care Medical Group PA is 1134386410. It was assigned on May 22, 2008 and is currently active in the NPPES registry.
What is the specialty of Primary Care Medical Group PA?
Primary Care Medical Group PA is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 31348.
Where does Primary Care Medical Group PA practice?
The practice location is 450 Bergen St, Harrison, NJ 07029-2291. The office can be reached at 973-484-6900 (phone) or 973-484-0029 (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 1134386410 directly on the NPPES registry website.