Suburban Medical Group, P,a.
Family Medicine in Fanwood, New Jersey
1932304235- Practice location
- 282 South Ave, Suite 102, Fanwood, NJ 07023-1372
- Phone
- 908-889-4600
- Fax
- 908-889-4650
- Last updated
- August 22, 2020
Suburban Medical Group, P,a. is a healthcare organization based in Fanwood, NJ. Suburban Medical Group, P,a. practices in Fanwood, NJ. The NPI Number for Suburban Medical Group, P,a. is 1932304235 and holds a License No. MA021365 (NJ). The current practice location address for Suburban Medical Group, P,a. is 282 South Ave, Suite 102, Fanwood, NJ 07023-1372 and can be reached out via phone at 908-889-4600 and via fax at 908-889-4650.
Provider Profile Details
- NPI Number
- 1932304235
- Provider Name
- Suburban Medical Group, P,a.
- Provider Entity Type
- Organization
- Address
- 282 South Ave, Suite 102, Fanwood, NJ 07023-1372
- Phone Number
- 908-889-4600
- Fax Number
- 908-889-4650
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Todd F. Boff, MD · President · 908-889-4600
- Provider Enumeration Date
- June 18, 2007
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 282 South Ave
Suite 102
Fanwood, NJ 07023-1372 - City
- Fanwood
- State
- New Jersey
- Zip
- 07023-1372
- Phone Number
- 908-889-4600
- Fax Number
- 908-889-4650
Provider Business Mailing Address Details
- Address
- 282 South Ave
Suite 102
Fanwood, NJ 07023-1372 - City
- Fanwood
- State
- NJ
- Zip
- 07023-1372
- Phone Number
- 908-889-4600
- Fax Number
- 908-889-5527
License Information
- License Number
- MA021365
- License State
- NJ
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Fanwood, NJ
View all Family Medicine providers in Fanwood →Frequently Asked Questions
What is the NPI number of Suburban Medical Group, P,a.?
The NPI number of Suburban Medical Group, P,a. is 1932304235. It was assigned on June 18, 2007 and is currently active in the NPPES registry.
What is the specialty of Suburban Medical Group, P,a.?
Suburban Medical Group, P,a. is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number MA021365.
Where does Suburban Medical Group, P,a. practice?
The practice location is 282 South Ave, Suite 102, Fanwood, NJ 07023-1372. The office can be reached at 908-889-4600 (phone) or 908-889-4650 (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 1932304235 directly on the NPPES registry website.