Active NPIOrganization

Clifton Physician Assistant LLC

Physician Assistant in Clifton, New Jersey

NPI Number1174981484
Practice location
1033 Route 46, Suite 102, Clifton, NJ 07013-2473
Fax
973-779-7970
Last updated
February 1, 2016

Clifton Physician Assistant LLC is a healthcare organization based in Clifton, NJ. Clifton Physician Assistant LLC practices in Clifton, NJ. The NPI Number for Clifton Physician Assistant LLC is 1174981484 and holds a License No. 25MP00383100 (NJ). The current practice location address for Clifton Physician Assistant LLC is 1033 Route 46, Suite 102, Clifton, NJ 07013-2473 and can be reached out via phone at 973-779-7979 and via fax at 973-779-7970.

Provider Profile Details

NPI Number
1174981484
Provider Name
Clifton Physician Assistant LLC
Provider Entity Type
Organization
Address
1033 Route 46, Suite 102, Clifton, NJ 07013-2473
Phone Number
973-779-7979
Fax Number
973-779-7970
Primary Taxonomy
Physician Assistant · 363A00000X
Organization Subpart
No
Authorized Official
Dr. Charles G Haddad, MD · Member/ Manager · 973-779-7979
Provider Enumeration Date
February 1, 2016
Last Update Date
February 1, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
1033 Route 46
Suite 102
Clifton, NJ 07013-2473
Zip
07013-2473
Phone Number
973-779-7979
Fax Number
973-779-7970
Clifton, NJ 07013Get directions →

Provider Business Mailing Address Details

Address
1033 Route 46
Suite 102
Clifton, NJ 07013-2473
City
Clifton
State
NJ
Zip
07013-2473
Phone Number
973-779-7979
Fax Number
973-779-7970

License Information

License Number
25MP00383100
License State
NJ
Taxonomy
Physician Assistant · 363A00000X · 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 Clifton Physician Assistant LLC?

The NPI number of Clifton Physician Assistant LLC is 1174981484. It was assigned on February 1, 2016 and is currently active in the NPPES registry.

What is the specialty of Clifton Physician Assistant LLC?

Clifton Physician Assistant LLC is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00383100.

Where does Clifton Physician Assistant LLC practice?

The practice location is 1033 Route 46, Suite 102, Clifton, NJ 07013-2473. The office can be reached at 973-779-7979 (phone) or 973-779-7970 (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 1174981484 directly on the NPPES registry website.

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