Integra Medical Group LLC
Internal Medicine in Ridgewood, New Jersey
1720361884- Practice location
- 1124 E Ridgewood Ave, Suite 103, Ridgewood, NJ 07450-3915
- Phone
- 201-447-7348
- Fax
- —
- Last updated
- November 3, 2014
Integra Medical Group LLC is a healthcare organization based in Ridgewood, NJ. Integra Medical Group LLC practices in Ridgewood, NJ. The NPI Number for Integra Medical Group LLC is 1720361884 and holds a License No. 25MA07654700 (NJ). The current practice location address for Integra Medical Group LLC is 1124 E Ridgewood Ave, Suite 103, Ridgewood, NJ 07450-3915 and can be reached out via phone at 201-447-7348.
Provider Profile Details
- NPI Number
- 1720361884
- Provider Name
- Integra Medical Group LLC
- Provider Entity Type
- Organization
- Address
- 1124 E Ridgewood Ave, Suite 103, Ridgewood, NJ 07450-3915
- Phone Number
- 201-447-7348
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Organization Subpart
- No
- Authorized Official
- Ladan Bahrampour · MD · 201-447-7348
- Provider Enumeration Date
- September 26, 2011
- Last Update Date
- November 3, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1124 E Ridgewood Ave
Suite 103
Ridgewood, NJ 07450-3915 - City
- Ridgewood
- State
- New Jersey
- Zip
- 07450-3915
- Phone Number
- 201-447-7348
Provider Business Mailing Address Details
- Address
- Po Box 741
Franklin Lakes, NJ 07417-0741 - City
- Franklin Lakes
- State
- NJ
- Zip
- 07417-0741
- Phone Number
- 973-476-7527
License Information
- License Number
- 25MA07654700
- 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 Integra Medical Group LLC?
The NPI number of Integra Medical Group LLC is 1720361884. It was assigned on September 26, 2011 and is currently active in the NPPES registry.
What is the specialty of Integra Medical Group LLC?
Integra Medical Group LLC is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MA07654700.
Where does Integra Medical Group LLC practice?
The practice location is 1124 E Ridgewood Ave, Suite 103, Ridgewood, NJ 07450-3915. The office can be reached at 201-447-7348 (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 1720361884 directly on the NPPES registry website.