Active NPIOrganization

Promed Preferred Nj 2 PC

Internal Medicine in Boonton, New Jersey

NPI Number1942075346
Practice location
125 Madison St, Boonton, NJ 07005-2153
Fax
—
Last updated
August 7, 2025

Promed Preferred Nj 2 PC is a healthcare organization based in Boonton, NJ. Promed Preferred Nj 2 PC practices in Boonton, NJ. The NPI Number for Promed Preferred Nj 2 PC is 1942075346. The current practice location address for Promed Preferred Nj 2 PC is 125 Madison St, Boonton, NJ 07005-2153 and can be reached out via phone at 844-776-6332.

Provider Profile Details

NPI Number
1942075346
Provider Name
Promed Preferred Nj 2 PC
Provider Entity Type
Organization
Address
125 Madison St, Boonton, NJ 07005-2153
Phone Number
844-776-6332
Primary Taxonomy
Internal Medicine · 207R00000X
Organization Subpart
No
Authorized Official
Lev Grinman, MD · Co-Owner · 646-673-1660
Other Names
Health Atlast Boonton (Doing Business As)
Provider Enumeration Date
November 16, 2023
Last Update Date
August 7, 2025
Certification Date
August 7, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
125 Madison St
Boonton, NJ 07005-2153
Zip
07005-2153
Phone Number
844-776-6332
Boonton, NJ 07005Get directions →

Provider Business Mailing Address Details

Address
4 Legends Cir
Melville, NY 11747-5302
City
Melville
State
NY
Zip
11747-5302

License Information

Taxonomy
Internal Medicine · 207R00000X · 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 Promed Preferred Nj 2 PC?

The NPI number of Promed Preferred Nj 2 PC is 1942075346. It was assigned on November 16, 2023 and is currently active in the NPPES registry.

What is the specialty of Promed Preferred Nj 2 PC?

Promed Preferred Nj 2 PC is registered under the primary taxonomy Internal Medicine (code 207R00000X).

Where does Promed Preferred Nj 2 PC practice?

The practice location is 125 Madison St, Boonton, NJ 07005-2153. The office can be reached at 844-776-6332 (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 1942075346 directly on the NPPES registry website.

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