Roseville Medical Group PA
Legal Medicine in Newark, New Jersey
1770893091- Practice location
- 346 Roseville Ave, Newark, NJ 07107-1722
- Phone
- 973-482-7245
- Fax
- 973-482-0274
- Last updated
- April 11, 2011
Roseville Medical Group PA is a healthcare organization based in Newark, NJ. Roseville Medical Group PA practices in Newark, NJ. The NPI Number for Roseville Medical Group PA is 1770893091 and holds a License No. ma30602 (NJ). The current practice location address for Roseville Medical Group PA is 346 Roseville Ave, Newark, NJ 07107-1722 and can be reached out via phone at 973-482-7245 and via fax at 973-482-0274.
Provider Profile Details
- NPI Number
- 1770893091
- Provider Name
- Roseville Medical Group PA
- Provider Entity Type
- Organization
- Address
- 346 Roseville Ave, Newark, NJ 07107-1722
- Phone Number
- 973-482-7245
- Fax Number
- 973-482-0274
- Primary Taxonomy
- Legal Medicine · 173000000X
- Organization Subpart
- No
- Authorized Official
- Dr. Raouf Kamel Elias · MD · 973-482-7245
- Provider Enumeration Date
- October 20, 2010
- Last Update Date
- April 11, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 346 Roseville Ave
Newark, NJ 07107-1722 - City
- Newark
- State
- New Jersey
- Zip
- 07107-1722
- Phone Number
- 973-482-7245
- Fax Number
- 973-482-0274
Provider Business Mailing Address Details
- Address
- 18 Alicia CT
Cedar Grove, NJ 07009-1901 - City
- Cedar Grove
- State
- NJ
- Zip
- 07009-1901
- Phone Number
- 973-857-1560
License Information
- License Number
- ma30602
- License State
- NJ
- Taxonomy
- Legal Medicine · 173000000X · 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 Roseville Medical Group PA?
The NPI number of Roseville Medical Group PA is 1770893091. It was assigned on October 20, 2010 and is currently active in the NPPES registry.
What is the specialty of Roseville Medical Group PA?
Roseville Medical Group PA is registered under the primary taxonomy Legal Medicine (code 173000000X), licensed in NJ under license number ma30602.
Where does Roseville Medical Group PA practice?
The practice location is 346 Roseville Ave, Newark, NJ 07107-1722. The office can be reached at 973-482-7245 (phone) or 973-482-0274 (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 1770893091 directly on the NPPES registry website.