Active NPIOrganization

Prospect Medical Office, LLC

Specialist in Midland Park, New Jersey

NPI Number1316198922
Practice location
301 Godwin Ave, Midland Park, NJ 07432-1544
Fax
201-689-0638
Last updated
October 2, 2008

Prospect Medical Office, LLC is a healthcare organization based in Midland Park, NJ. Prospect Medical Office, LLC practices in Midland Park, NJ. The NPI Number for Prospect Medical Office, LLC is 1316198922. The current practice location address for Prospect Medical Office, LLC is 301 Godwin Ave, Midland Park, NJ 07432-1544 and can be reached out via phone at 201-444-4526 and via fax at 201-689-0638.

Provider Profile Details

NPI Number
1316198922
Provider Name
Prospect Medical Office, LLC
Provider Entity Type
Organization
Address
301 Godwin Ave, Midland Park, NJ 07432-1544
Phone Number
201-444-4526
Fax Number
201-689-0638
Primary Taxonomy
Specialist · 174400000X
Organization Subpart
Yes
Parent Organization
Prospect Medical Office, LLC
Authorized Official
Bennett P Leifer, MD · Managing Physician · 201-444-4526
Provider Enumeration Date
October 2, 2008
Last Update Date
October 2, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
301 Godwin Ave
Midland Park, NJ 07432-1544
Zip
07432-1544
Phone Number
201-444-4526
Fax Number
201-689-0638
Midland Park, NJ 07432Get directions →

Provider Business Mailing Address Details

Address
301 Godwin Ave
Midland Park, NJ 07432-1544
City
Midland Park
State
NJ
Zip
07432-1544
Phone Number
201-444-4526
Fax Number
201-689-0638

License Information

Taxonomy
Specialist · 174400000X · 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 Prospect Medical Office, LLC?

The NPI number of Prospect Medical Office, LLC is 1316198922. It was assigned on October 2, 2008 and is currently active in the NPPES registry.

What is the specialty of Prospect Medical Office, LLC?

Prospect Medical Office, LLC is registered under the primary taxonomy Specialist (code 174400000X).

Where does Prospect Medical Office, LLC practice?

The practice location is 301 Godwin Ave, Midland Park, NJ 07432-1544. The office can be reached at 201-444-4526 (phone) or 201-689-0638 (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 1316198922 directly on the NPPES registry website.

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