Osteopathic Medical Care Center
Clinic/Center, Primary Care in Fair Lawn, New Jersey
1730363250- Practice location
- 39-40 Broadway, Fair Lawn, NJ 07410-5419
- Phone
- 201-475-5006
- Fax
- 201-475-5009
- Last updated
- December 19, 2007
Osteopathic Medical Care Center is a healthcare organization based in Fair Lawn, NJ. Osteopathic Medical Care Center practices in Fair Lawn, NJ. The NPI Number for Osteopathic Medical Care Center is 1730363250 and holds a License No. 25MB06860100 (NJ). The current practice location address for Osteopathic Medical Care Center is 39-40 Broadway, Fair Lawn, NJ 07410-5419 and can be reached out via phone at 201-475-5006 and via fax at 201-475-5009.
Provider Profile Details
- NPI Number
- 1730363250
- Provider Name
- Osteopathic Medical Care Center
- Provider Entity Type
- Organization
- Address
- 39-40 Broadway, Fair Lawn, NJ 07410-5419
- Phone Number
- 201-475-5006
- Fax Number
- 201-475-5009
- Primary Taxonomy
- Clinic/Center, Primary Care · 261QP2300X
- Organization Subpart
- No
- Authorized Official
- Aleksandr Martirosov · DO · 201-475-5006
- Provider Enumeration Date
- December 19, 2007
- Last Update Date
- December 19, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 39-40 Broadway
Fair Lawn, NJ 07410-5419 - City
- Fair Lawn
- State
- New Jersey
- Zip
- 07410-5419
- Phone Number
- 201-475-5006
- Fax Number
- 201-475-5009
Provider Business Mailing Address Details
- Address
- 39-40 Broadway
Fair Lawn, NJ 07410-5419 - City
- Fair Lawn
- State
- NJ
- Zip
- 07410-5419
- Phone Number
- 201-475-5006
- Fax Number
- 201-475-5009
License Information
- License Number
- 25MB06860100
- 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 Osteopathic Medical Care Center?
The NPI number of Osteopathic Medical Care Center is 1730363250. It was assigned on December 19, 2007 and is currently active in the NPPES registry.
What is the specialty of Osteopathic Medical Care Center?
Osteopathic Medical Care Center is registered under the primary taxonomy Clinic/Center, Primary Care (code 261QP2300X), licensed in NJ under license number 25MB06860100.
Where does Osteopathic Medical Care Center practice?
The practice location is 39-40 Broadway, Fair Lawn, NJ 07410-5419. The office can be reached at 201-475-5006 (phone) or 201-475-5009 (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 1730363250 directly on the NPPES registry website.