165 Summit Internal Medicine Clinic PA
Clinic/Center, Primary Care in Hackensack, New Jersey
1558690446- Practice location
- 165 Summit Ave, Hackensack, NJ 07601-1311
- Phone
- 201-488-5892
- Fax
- 201-488-0022
- Last updated
- December 23, 2009
165 Summit Internal Medicine Clinic PA is a healthcare organization based in Hackensack, NJ. 165 Summit Internal Medicine Clinic PA practices in Hackensack, NJ. The NPI Number for 165 Summit Internal Medicine Clinic PA is 1558690446 and holds a License No. MA61265NJ (NJ). The current practice location address for 165 Summit Internal Medicine Clinic PA is 165 Summit Ave, Hackensack, NJ 07601-1311 and can be reached out via phone at 201-488-5892 and via fax at 201-488-0022.
Provider Profile Details
- NPI Number
- 1558690446
- Provider Name
- 165 Summit Internal Medicine Clinic PA
- Provider Entity Type
- Organization
- Address
- 165 Summit Ave, Hackensack, NJ 07601-1311
- Phone Number
- 201-488-5892
- Fax Number
- 201-488-0022
- Primary Taxonomy
- Clinic/Center, Primary Care · 261QP2300X
- Organization Subpart
- No
- Authorized Official
- Dr. Aret Yegise Kahyaoglu, MD · President · 201-488-5892
- Provider Enumeration Date
- December 23, 2009
- Last Update Date
- December 23, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 165 Summit Ave
Hackensack, NJ 07601-1311 - City
- Hackensack
- State
- New Jersey
- Zip
- 07601-1311
- Phone Number
- 201-488-5892
- Fax Number
- 201-488-0022
Provider Business Mailing Address Details
- Address
- 165 Summit Ave
Hackensack, NJ 07601-1311 - City
- Hackensack
- State
- NJ
- Zip
- 07601-1311
- Phone Number
- 201-488-5892
- Fax Number
- 201-488-0022
License Information
- License Number
- MA61265NJ
- License State
- NJ
- Taxonomy
- Clinic/Center, Primary Care · 261QP2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 165 Summit Internal Medicine Clinic PA?
The NPI number of 165 Summit Internal Medicine Clinic PA is 1558690446. It was assigned on December 23, 2009 and is currently active in the NPPES registry.
What is the specialty of 165 Summit Internal Medicine Clinic PA?
165 Summit Internal Medicine Clinic PA is registered under the primary taxonomy Clinic/Center, Primary Care (code 261QP2300X), licensed in NJ under license number MA61265NJ.
Where does 165 Summit Internal Medicine Clinic PA practice?
The practice location is 165 Summit Ave, Hackensack, NJ 07601-1311. The office can be reached at 201-488-5892 (phone) or 201-488-0022 (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 1558690446 directly on the NPPES registry website.