Active NPIIndividual providerSole proprietor

Dr. Omead Mirgoli, MD

Family Medicine in North Bergen, New Jersey

NPI Number1821625609
Practice location
7600 River RD, North Bergen, NJ 07047-6217
Fax
—
Last updated
September 9, 2024

Omead Mirgoli is a Family Medicine based in North Bergen, NJ. Omead Mirgoli practices in North Bergen, NJ and has the professional credentials of MD. The NPI Number for Omead Mirgoli is 1821625609 and holds a License No. A195169 (CA). The current practice location address for Omead Mirgoli is 7600 River RD, North Bergen, NJ 07047-6217 and can be reached out via phone at 201-854-5000.

Provider Profile Details

NPI Number
1821625609
Provider Name
Omead Mirgoli
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
7600 River RD, North Bergen, NJ 07047-6217
Phone Number
201-854-5000
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 24, 2020
Last Update Date
September 9, 2024
Certification Date
September 9, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
7600 River RD
North Bergen, NJ 07047-6217
Zip
07047-6217
Phone Number
201-854-5000
North Bergen, NJ 07047Get directions →

Provider Business Mailing Address Details

Address
5762 Fairhaven Ave
Woodland Hills, CA 91367-3927
City
Woodland Hills
State
CA
Zip
91367-3927

License Information

License Number
A195169
License State
CA
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. Omead Mirgoli, MD?

The NPI number of Dr. Omead Mirgoli, MD is 1821625609. It was assigned on March 24, 2020 and is currently active in the NPPES registry.

What is the specialty of Dr. Omead Mirgoli, MD?

Dr. Omead Mirgoli, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in CA under license number A195169.

Where does Dr. Omead Mirgoli, MD practice?

The practice location is 7600 River RD, North Bergen, NJ 07047-6217. The office can be reached at 201-854-5000 (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 1821625609 directly on the NPPES registry website.

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