Aleksandr Martirosov, DO
Family Medicine in Fair Lawn, New Jersey
1700931185- Practice location
- 31-00 Broadway, 1ST Floor, Fair Lawn, NJ 07410-3963
- Phone
- 201-791-7771
- Fax
- 201-791-7337
- Last updated
- October 18, 2010
Aleksandr Martirosov is a Family Medicine based in Fair Lawn, NJ. Aleksandr Martirosov practices in Fair Lawn, NJ and has the professional credentials of DO. The NPI Number for Aleksandr Martirosov is 1700931185 and holds a License No. 25MB06860100 (NJ). The current practice location address for Aleksandr Martirosov is 31-00 Broadway, 1ST Floor, Fair Lawn, NJ 07410-3963 and can be reached out via phone at 201-791-7771 and via fax at 201-791-7337.
Provider Profile Details
- NPI Number
- 1700931185
- Provider Name
- Aleksandr Martirosov
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 31-00 Broadway, 1ST Floor, Fair Lawn, NJ 07410-3963
- Phone Number
- 201-791-7771
- Fax Number
- 201-791-7337
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 24, 2007
- Last Update Date
- October 18, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 31-00 Broadway
1ST Floor
Fair Lawn, NJ 07410-3963 - City
- Fair Lawn
- State
- New Jersey
- Zip
- 07410-3963
- Phone Number
- 201-791-7771
- Fax Number
- 201-791-7337
Provider Business Mailing Address Details
- Address
- 31-00 Broadway
1ST Floor
Fair Lawn, NJ 07410-3963 - City
- Fair Lawn
- State
- NJ
- Zip
- 07410-3963
- Phone Number
- 201-791-7771
- Fax Number
- 201-791-7337
License Information
- License Number (1)
- 25MB06860100
- License State (1)
- NJ
- Taxonomy (1)
- Family Medicine · 207Q00000X · Primary
- License Number (2)
- 25MB06860100
- License State (2)
- NJ
- Taxonomy (2)
- Family Medicine, Addiction Medicine · 207QA0401X
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 Aleksandr Martirosov, DO?
The NPI number of Aleksandr Martirosov, DO is 1700931185. It was assigned on January 24, 2007 and is currently active in the NPPES registry.
What is the specialty of Aleksandr Martirosov, DO?
Aleksandr Martirosov, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MB06860100.
Where does Aleksandr Martirosov, DO practice?
The practice location is 31-00 Broadway, 1ST Floor, Fair Lawn, NJ 07410-3963. The office can be reached at 201-791-7771 (phone) or 201-791-7337 (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 1700931185 directly on the NPPES registry website.