Second Street Medical Associates
Clinic/Center, Primary Care in Hackensack, New Jersey
1679522775- Practice location
- 386 2ND St, Hackensack, NJ 07601-2731
- Phone
- 201-342-1877
- Fax
- 201-342-1879
- Last updated
- March 20, 2013
Second Street Medical Associates is a healthcare organization based in Hackensack, NJ. Second Street Medical Associates practices in Hackensack, NJ. The NPI Number for Second Street Medical Associates is 1679522775 and holds a License No. MA67550 (NJ). The current practice location address for Second Street Medical Associates is 386 2ND St, Hackensack, NJ 07601-2731 and can be reached out via phone at 201-342-1877 and via fax at 201-342-1879.
Provider Profile Details
- NPI Number
- 1679522775
- Provider Name
- Second Street Medical Associates
- Provider Entity Type
- Organization
- Address
- 386 2ND St, Hackensack, NJ 07601-2731
- Phone Number
- 201-342-1877
- Fax Number
- 201-342-1879
- Primary Taxonomy
- Clinic/Center, Primary Care · 261QP2300X
- Organization Subpart
- No
- Authorized Official
- Dr. Philip G Woodham, MD · Owner · 201-342-1877
- Provider Enumeration Date
- May 8, 2006
- Last Update Date
- March 20, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 386 2ND St
Hackensack, NJ 07601-2731 - City
- Hackensack
- State
- New Jersey
- Zip
- 07601-2731
- Phone Number
- 201-342-1877
- Fax Number
- 201-342-1879
Provider Business Mailing Address Details
- Address
- 386 2ND St
Hackensack, NJ 07601-2731 - City
- Hackensack
- State
- NJ
- Zip
- 07601-2731
- Phone Number
- 201-342-1877
- Fax Number
- 201-342-1879
License Information
- License Number
- MA67550
- 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 Second Street Medical Associates?
The NPI number of Second Street Medical Associates is 1679522775. It was assigned on May 8, 2006 and is currently active in the NPPES registry.
What is the specialty of Second Street Medical Associates?
Second Street Medical Associates is registered under the primary taxonomy Clinic/Center, Primary Care (code 261QP2300X), licensed in NJ under license number MA67550.
Where does Second Street Medical Associates practice?
The practice location is 386 2ND St, Hackensack, NJ 07601-2731. The office can be reached at 201-342-1877 (phone) or 201-342-1879 (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 1679522775 directly on the NPPES registry website.