21ST Avenue Primary Care PA
Family Medicine in Paterson, New Jersey
1609163716- Practice location
- 534 21ST Ave, Paterson, NJ 07513-1337
- Phone
- 973-925-5400
- Fax
- 973-925-5403
- Last updated
- July 9, 2011
21ST Avenue Primary Care PA is a healthcare organization based in Paterson, NJ. 21ST Avenue Primary Care PA practices in Paterson, NJ. The NPI Number for 21ST Avenue Primary Care PA is 1609163716 and holds a License No. 25MA05907400 (NJ). The current practice location address for 21ST Avenue Primary Care PA is 534 21ST Ave, Paterson, NJ 07513-1337 and can be reached out via phone at 973-925-5400 and via fax at 973-925-5403.
Provider Profile Details
- NPI Number
- 1609163716
- Provider Name
- 21ST Avenue Primary Care PA
- Provider Entity Type
- Organization
- Address
- 534 21ST Ave, Paterson, NJ 07513-1337
- Phone Number
- 973-925-5400
- Fax Number
- 973-925-5403
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Organization Subpart
- No
- Authorized Official
- Hector Jacob Leon-Wong, MD · Owner/Medical Director · 973-925-5400
- Provider Enumeration Date
- July 9, 2011
- Last Update Date
- July 9, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 534 21ST Ave
Paterson, NJ 07513-1337 - City
- Paterson
- State
- New Jersey
- Zip
- 07513-1337
- Phone Number
- 973-925-5400
- Fax Number
- 973-925-5403
Provider Business Mailing Address Details
- Address
- 534 21ST Ave
Paterson
Paterson, NJ 07513-1337 - City
- Paterson
- State
- NJ
- Zip
- 07513-1337
- Phone Number
- 973-925-5400
- Fax Number
- 973-925-5403
License Information
- License Number
- 25MA05907400
- License State
- NJ
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Paterson, NJ
View all Family Medicine providers in Paterson →- Arpita Suri, MDFamily Medicine · NPI 1346803301
- Avram Batlle Pezzotti, MDFamily Medicine · NPI 1952004186
- Carenow LLCFamily Medicine · NPI 1518480912
- Careplus Medical Associates, PCFamily Medicine · NPI 1487896635
- David N Mikhael, MDFamily Medicine · NPI 1033747399
- Dr. Chandni J Patel, MDFamily Medicine · NPI 1023570645
Frequently Asked Questions
What is the NPI number of 21ST Avenue Primary Care PA?
The NPI number of 21ST Avenue Primary Care PA is 1609163716. It was assigned on July 9, 2011 and is currently active in the NPPES registry.
What is the specialty of 21ST Avenue Primary Care PA?
21ST Avenue Primary Care PA is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MA05907400.
Where does 21ST Avenue Primary Care PA practice?
The practice location is 534 21ST Ave, Paterson, NJ 07513-1337. The office can be reached at 973-925-5400 (phone) or 973-925-5403 (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 1609163716 directly on the NPPES registry website.