Mount Prospect Medical Group,llc
Internal Medicine in East Orange, New Jersey
1700245255- Practice location
- 570 Park Ave, 2ND Floor, East Orange, NJ 07017-1904
- Phone
- 973-672-8573
- Fax
- 973-675-0040
- Last updated
- February 12, 2016
Mount Prospect Medical Group,llc is a healthcare organization based in East Orange, NJ. Mount Prospect Medical Group,llc practices in East Orange, NJ. The NPI Number for Mount Prospect Medical Group,llc is 1700245255 and holds a License No. 25MA07308500 (NJ). The current practice location address for Mount Prospect Medical Group,llc is 570 Park Ave, 2ND Floor, East Orange, NJ 07017-1904 and can be reached out via phone at 973-672-8573 and via fax at 973-675-0040.
Provider Profile Details
- NPI Number
- 1700245255
- Provider Name
- Mount Prospect Medical Group,llc
- Provider Entity Type
- Organization
- Address
- 570 Park Ave, 2ND Floor, East Orange, NJ 07017-1904
- Phone Number
- 973-672-8573
- Fax Number
- 973-675-0040
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Organization Subpart
- No
- Authorized Official
- Mr. Alexander G Salerno, MD · Owner/President · 973-672-2455
- Provider Enumeration Date
- February 12, 2016
- Last Update Date
- February 12, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 570 Park Ave
2ND Floor
East Orange, NJ 07017-1904 - City
- East Orange
- State
- New Jersey
- Zip
- 07017-1904
- Phone Number
- 973-672-8573
- Fax Number
- 973-675-0040
Provider Business Mailing Address Details
- Address
- 613 Park Ave
East Orange, NJ 07017-1905 - City
- East Orange
- State
- NJ
- Zip
- 07017-1905
- Phone Number
- 973-672-2455
- Fax Number
- 973-675-0040
License Information
- License Number
- 25MA07308500
- License State
- NJ
- Taxonomy
- Internal Medicine · 207R00000X · 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 Mount Prospect Medical Group,llc?
The NPI number of Mount Prospect Medical Group,llc is 1700245255. It was assigned on February 12, 2016 and is currently active in the NPPES registry.
What is the specialty of Mount Prospect Medical Group,llc?
Mount Prospect Medical Group,llc is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MA07308500.
Where does Mount Prospect Medical Group,llc practice?
The practice location is 570 Park Ave, 2ND Floor, East Orange, NJ 07017-1904. The office can be reached at 973-672-8573 (phone) or 973-675-0040 (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 1700245255 directly on the NPPES registry website.