Active NPIOrganization

Integrated Medical Associates LLC

Internal Medicine, Geriatric Medicine in Montclair, New Jersey

NPI Number1902927874
Practice location
48 N Fullerton Ave, Montclair, NJ 07042-3411
Fax
973-744-5035
Last updated
August 13, 2012

Integrated Medical Associates LLC is a healthcare organization based in Montclair, NJ. Integrated Medical Associates LLC practices in Montclair, NJ. The NPI Number for Integrated Medical Associates LLC is 1902927874 and holds a License No. ma69300 (NJ). The current practice location address for Integrated Medical Associates LLC is 48 N Fullerton Ave, Montclair, NJ 07042-3411 and can be reached out via phone at 973-744-7337 and via fax at 973-744-5035.

Provider Profile Details

NPI Number
1902927874
Provider Name
Integrated Medical Associates LLC
Provider Entity Type
Organization
Address
48 N Fullerton Ave, Montclair, NJ 07042-3411
Phone Number
973-744-7337
Fax Number
973-744-5035
Primary Taxonomy
Internal Medicine, Geriatric Medicine · 207RG0300X
Organization Subpart
No
Authorized Official
Dr. Rowen Gumapas Diano, MD · Owner · 973-744-7337
Other Names
Na (Doing Business As)
Provider Enumeration Date
April 2, 2007
Last Update Date
August 13, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
48 N Fullerton Ave
Montclair, NJ 07042-3411
Zip
07042-3411
Phone Number
973-744-7337
Fax Number
973-744-5035
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
48 N Fullerton Ave
Montclair, NJ 07042-3411
City
Montclair
State
NJ
Zip
07042-3411
Phone Number
973-744-7337
Fax Number
973-744-5035

License Information

License Number
ma69300
License State
NJ
Taxonomy
Internal Medicine, Geriatric Medicine · 207RG0300X · 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 Integrated Medical Associates LLC?

The NPI number of Integrated Medical Associates LLC is 1902927874. It was assigned on April 2, 2007 and is currently active in the NPPES registry.

What is the specialty of Integrated Medical Associates LLC?

Integrated Medical Associates LLC is registered under the primary taxonomy Internal Medicine, Geriatric Medicine (code 207RG0300X), licensed in NJ under license number ma69300.

Where does Integrated Medical Associates LLC practice?

The practice location is 48 N Fullerton Ave, Montclair, NJ 07042-3411. The office can be reached at 973-744-7337 (phone) or 973-744-5035 (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 1902927874 directly on the NPPES registry website.

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