Active NPIOrganization

New Jersey Keystone Physicians,pa

Family Medicine in Ridgewood, New Jersey

NPI Number1215123732
Practice location
1200 E Ridgewood Ave, West Wing, Second Floor, Ridgewood, NJ 07450-3957
Fax
201-447-3691
Last updated
May 28, 2013

New Jersey Keystone Physicians,pa is a healthcare organization based in Ridgewood, NJ. New Jersey Keystone Physicians,pa practices in Ridgewood, NJ. The NPI Number for New Jersey Keystone Physicians,pa is 1215123732 and holds a License No. 25MAO7320300 (NJ). The current practice location address for New Jersey Keystone Physicians,pa is 1200 E Ridgewood Ave, West Wing, Second Floor, Ridgewood, NJ 07450-3957 and can be reached out via phone at 201-447-3690 and via fax at 201-447-3691.

Provider Profile Details

NPI Number
1215123732
Provider Name
New Jersey Keystone Physicians,pa
Provider Entity Type
Organization
Address
1200 E Ridgewood Ave, West Wing, Second Floor, Ridgewood, NJ 07450-3957
Phone Number
201-447-3690
Fax Number
201-447-3691
Primary Taxonomy
Family Medicine · 207Q00000X
Organization Subpart
No
Authorized Official
Dr. Nicholas Demetrios Panagiotou, MD · Medical Director · 201-447-3690
Provider Enumeration Date
September 18, 2007
Last Update Date
May 28, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
1200 E Ridgewood Ave
West Wing, Second Floor
Ridgewood, NJ 07450-3957
Zip
07450-3957
Phone Number
201-447-3690
Fax Number
201-447-3691
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
Po Box 115
Ridgewood, NJ 07451-0115
City
Ridgewood
State
NJ
Zip
07451-0115
Phone Number
201-447-3690
Fax Number
201-447-3691

License Information

License Number
25MAO7320300
License State
NJ
Taxonomy
Family Medicine · 207Q00000X · 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 New Jersey Keystone Physicians,pa?

The NPI number of New Jersey Keystone Physicians,pa is 1215123732. It was assigned on September 18, 2007 and is currently active in the NPPES registry.

What is the specialty of New Jersey Keystone Physicians,pa?

New Jersey Keystone Physicians,pa is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MAO7320300.

Where does New Jersey Keystone Physicians,pa practice?

The practice location is 1200 E Ridgewood Ave, West Wing, Second Floor, Ridgewood, NJ 07450-3957. The office can be reached at 201-447-3690 (phone) or 201-447-3691 (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 1215123732 directly on the NPPES registry website.

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