Active NPIOrganization

Dedicated Primary Care LLC

Clinic/Center in Montclair, New Jersey

NPI Number1497180541
Practice location
239 Claremont Ave, Montclair, NJ 07042-2833
Fax
—
Last updated
September 9, 2013

Dedicated Primary Care LLC is a healthcare organization based in Montclair, NJ. Dedicated Primary Care LLC practices in Montclair, NJ. The NPI Number for Dedicated Primary Care LLC is 1497180541 and holds a License No. 25MA09295600 (NJ). The current practice location address for Dedicated Primary Care LLC is 239 Claremont Ave, Montclair, NJ 07042-2833 and can be reached out via phone at 973-771-3863.

Provider Profile Details

NPI Number
1497180541
Provider Name
Dedicated Primary Care LLC
Provider Entity Type
Organization
Address
239 Claremont Ave, Montclair, NJ 07042-2833
Phone Number
973-771-3863
Primary Taxonomy
Clinic/Center · 261Q00000X
Organization Subpart
No
Authorized Official
Dr. Tianzhong Yang, MD · Primary Care Physician · 973-771-3863
Provider Enumeration Date
September 9, 2013
Last Update Date
September 9, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
239 Claremont Ave
Montclair, NJ 07042-2833
Zip
07042-2833
Phone Number
973-771-3863
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
4 Crystal CT Apt B2
Woodland Park, NJ 07424-4261
City
Woodland Park
State
NJ
Zip
07424-4261

License Information

License Number
25MA09295600
License State
NJ
Taxonomy
Clinic/Center · 261Q00000X · 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 Dedicated Primary Care LLC?

The NPI number of Dedicated Primary Care LLC is 1497180541. It was assigned on September 9, 2013 and is currently active in the NPPES registry.

What is the specialty of Dedicated Primary Care LLC?

Dedicated Primary Care LLC is registered under the primary taxonomy Clinic/Center (code 261Q00000X), licensed in NJ under license number 25MA09295600.

Where does Dedicated Primary Care LLC practice?

The practice location is 239 Claremont Ave, Montclair, NJ 07042-2833. The office can be reached at 973-771-3863 (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 1497180541 directly on the NPPES registry website.

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