Active NPIIndividual provider

Dr. Sergey Medlenov, DO

Emergency Medicine in Stratford, New Jersey

NPI Number1164628392
Practice location
18 Laurel Road, Stratford, NJ 08084-1801
Fax
—
Last updated
August 18, 2017

Sergey Medlenov is an Emergency Medicine based in Stratford, NJ. Sergey Medlenov practices in Stratford, NJ and has the professional credentials of DO. The NPI Number for Sergey Medlenov is 1164628392 and holds a License No. 25MB08330100 (NJ). The current practice location address for Sergey Medlenov is 18 Laurel Road, Stratford, NJ 08084-1801 and can be reached out via phone at 856-346-7985.

Provider Profile Details

NPI Number
1164628392
Provider Name
Sergey Medlenov
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
18 Laurel Road, Stratford, NJ 08084-1801
Phone Number
856-346-7985
Primary Taxonomy
Emergency Medicine · 207P00000X
Sole Proprietor
No
Provider Enumeration Date
June 25, 2007
Last Update Date
August 18, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
18 Laurel Road
Stratford, NJ 08084-1801
Zip
08084-1801
Phone Number
856-346-7985
Stratford, NJ 08084Get directions →

Provider Business Mailing Address Details

Address
18 Laurel Road
Stratford, NJ 08084-1801
City
Stratford
State
NJ
Zip
08084-1801
Phone Number
856-346-7985

License Information

License Number
25MB08330100
License State
NJ
Taxonomy
Emergency Medicine · 207P00000X · 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. Sergey Medlenov, DO?

The NPI number of Dr. Sergey Medlenov, DO is 1164628392. It was assigned on June 25, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Sergey Medlenov, DO?

Dr. Sergey Medlenov, DO is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in NJ under license number 25MB08330100.

Where does Dr. Sergey Medlenov, DO practice?

The practice location is 18 Laurel Road, Stratford, NJ 08084-1801. The office can be reached at 856-346-7985 (phone).

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 1164628392 directly on the NPPES registry website.

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