Active NPIOrganization

Odyssey Emergency Physicians, LLC

Emergency Medicine in Montclair, New Jersey

NPI Number1689031973
Practice location
1 Bay Ave, Montclair, NJ 07042-4837
Fax
—
Last updated
January 19, 2016

Odyssey Emergency Physicians, LLC is a healthcare organization based in Montclair, NJ. Odyssey Emergency Physicians, LLC practices in Montclair, NJ. The NPI Number for Odyssey Emergency Physicians, LLC is 1689031973. The current practice location address for Odyssey Emergency Physicians, LLC is 1 Bay Ave, Montclair, NJ 07042-4837 and can be reached out via phone at 469-401-2386.

Provider Profile Details

NPI Number
1689031973
Provider Name
Odyssey Emergency Physicians, LLC
Provider Entity Type
Organization
Address
1 Bay Ave, Montclair, NJ 07042-4837
Phone Number
469-401-2386
Primary Taxonomy
Emergency Medicine · 207P00000X
Organization Subpart
No
Authorized Official
Russell Harris, MD · Officer · 469-401-2386
Provider Enumeration Date
January 19, 2016
Last Update Date
January 19, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Bay Ave
Montclair, NJ 07042-4837
Zip
07042-4837
Phone Number
469-401-2386
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
Po Box 80043
Philadelphia, PA 19101-1043
City
Philadelphia
State
PA
Zip
19101-1043

License Information

Taxonomy (1)
Physician Assistant · 363A00000X
Taxonomy (2)
Nurse Practitioner · 363L00000X
Taxonomy (3)
Emergency Medicine · 207P00000X · 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 Odyssey Emergency Physicians, LLC?

The NPI number of Odyssey Emergency Physicians, LLC is 1689031973. It was assigned on January 19, 2016 and is currently active in the NPPES registry.

What is the specialty of Odyssey Emergency Physicians, LLC?

Odyssey Emergency Physicians, LLC is registered under the primary taxonomy Emergency Medicine (code 207P00000X).

Where does Odyssey Emergency Physicians, LLC practice?

The practice location is 1 Bay Ave, Montclair, NJ 07042-4837. The office can be reached at 469-401-2386 (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 1689031973 directly on the NPPES registry website.

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