Active NPIOrganization

South Orange Village Medical Group, LLC

Internal Medicine in South Orange, New Jersey

NPI Number1164716544
Practice location
483 S Orange Ave, South Orange, NJ 07079-2642
Fax
—
Last updated
June 3, 2011

South Orange Village Medical Group, LLC is a healthcare organization based in South Orange, NJ. South Orange Village Medical Group, LLC practices in South Orange, NJ. The NPI Number for South Orange Village Medical Group, LLC is 1164716544. The current practice location address for South Orange Village Medical Group, LLC is 483 S Orange Ave, South Orange, NJ 07079-2642 and can be reached out via phone at 973-638-1634.

Provider Profile Details

NPI Number
1164716544
Provider Name
South Orange Village Medical Group, LLC
Provider Entity Type
Organization
Address
483 S Orange Ave, South Orange, NJ 07079-2642
Phone Number
973-638-1634
Primary Taxonomy
Internal Medicine · 207R00000X
Organization Subpart
No
Authorized Official
Mr. Amgad Hessein, MD · Owner · 973-638-1634
Provider Enumeration Date
June 3, 2011
Last Update Date
June 3, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
483 S Orange Ave
South Orange, NJ 07079-2642
Zip
07079-2642
Phone Number
973-638-1634
South Orange, NJ 07079Get directions →

Provider Business Mailing Address Details

Address
483 S Orange Ave
South Orange, NJ 07079-2642
City
South Orange
State
NJ
Zip
07079-2642
Phone Number
973-638-1634

License Information

Taxonomy
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 South Orange Village Medical Group, LLC?

The NPI number of South Orange Village Medical Group, LLC is 1164716544. It was assigned on June 3, 2011 and is currently active in the NPPES registry.

What is the specialty of South Orange Village Medical Group, LLC?

South Orange Village Medical Group, LLC is registered under the primary taxonomy Internal Medicine (code 207R00000X).

Where does South Orange Village Medical Group, LLC practice?

The practice location is 483 S Orange Ave, South Orange, NJ 07079-2642. The office can be reached at 973-638-1634 (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 1164716544 directly on the NPPES registry website.

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