Active NPIOrganization

Mountain Lakes Family Practice LLC

Family Medicine in Mountain Lakes, New Jersey

NPI Number1326271826
Practice location
420 Boulevard, Suite 104, Mountain Lakes, NJ 07046-1742
Fax
973-334-2109
Last updated
August 31, 2009

Mountain Lakes Family Practice LLC is a healthcare organization based in Mountain Lakes, NJ. Mountain Lakes Family Practice LLC practices in Mountain Lakes, NJ. The NPI Number for Mountain Lakes Family Practice LLC is 1326271826 and holds a License No. 25MB06311200 (NJ). The current practice location address for Mountain Lakes Family Practice LLC is 420 Boulevard, Suite 104, Mountain Lakes, NJ 07046-1742 and can be reached out via phone at 973-334-3773 and via fax at 973-334-2109.

Provider Profile Details

NPI Number
1326271826
Provider Name
Mountain Lakes Family Practice LLC
Provider Entity Type
Organization
Address
420 Boulevard, Suite 104, Mountain Lakes, NJ 07046-1742
Phone Number
973-334-3773
Fax Number
973-334-2109
Primary Taxonomy
Family Medicine · 207Q00000X
Organization Subpart
No
Authorized Official
Dr. Brenda Leslie Ziegler, DO · President · 973-334-3773
Provider Enumeration Date
August 31, 2009
Last Update Date
August 31, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
420 Boulevard
Suite 104
Mountain Lakes, NJ 07046-1742
Zip
07046-1742
Phone Number
973-334-3773
Fax Number
973-334-2109
Mountain Lakes, NJ 07046Get directions →

Provider Business Mailing Address Details

Address
420 Boulevard
Suite 104
Mountain Lakes, NJ 07046-1742
City
Mountain Lakes
State
NJ
Zip
07046-1742
Phone Number
973-334-3773
Fax Number
973-334-2109

License Information

License Number
25MB06311200
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 Mountain Lakes Family Practice LLC?

The NPI number of Mountain Lakes Family Practice LLC is 1326271826. It was assigned on August 31, 2009 and is currently active in the NPPES registry.

What is the specialty of Mountain Lakes Family Practice LLC?

Mountain Lakes Family Practice LLC is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MB06311200.

Where does Mountain Lakes Family Practice LLC practice?

The practice location is 420 Boulevard, Suite 104, Mountain Lakes, NJ 07046-1742. The office can be reached at 973-334-3773 (phone) or 973-334-2109 (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 1326271826 directly on the NPPES registry website.

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