CLOSTER MEDICAL GROUP, PA


Address: 200 Closter Dock Rd, Closter, NJ 07624-1928
Phone: 2017683900

CLOSTER MEDICAL GROUP, PA (NPI# 1063634459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063634459
Entity Type Organization
Organization Name CLOSTER MEDICAL GROUP, PA
Practice Address 200 Closter Dock Rd
Closter
NJ 07624-1928
Practice Telephone 2017683900
Practice Fax Number 2017683840
Mailing Telephone 2017683900
Mailing Fax Number 2017683840
Enumeration Date 2007-05-03
Last Update Date 2010-08-02
Authorized Official Name MS. VALURE CHURCHILL (OFFICE MANAGER)
Authorized Official Telephone 2017683900
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NJ 7261403 05

Office Location

Street Address 200 CLOSTER DOCK RD
City CLOSTER
State NJ
Zip Code 07624-1928

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578519187 Helena Nouman Specialist 200 Closter Dock Rd, Closter, NJ 07624-1928 2006-05-25
1730326422 Jun S Kim Acupuncturist 200 Closter Dock Rd, Closter, NJ 07624-1928 2009-01-16
1730362153 Northern Valley Pain Center Inc Pain Medicine 200 Closter Dock Rd, Closter, NJ 07624-1928 2007-12-07
1073718235 Adil Farooki Internal Medicine 200 Closter Dock Rd, Closter, NJ 07624-1928 2007-06-18
1952441586 Mark Neil Nathanson Podiatrist 200 Closter Dock Rd, Closter, NJ 07624-1928 2007-02-06
1164461810 Nina Ann Cavalli Pediatrics 200 Closter Dock Rd, Closter, NJ 07624-1928 2006-06-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336699321 New Jersey Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 29 Vervalen St, Closter, NJ 07624 2016-10-13
1114159175 Family Counseling Center of Closter Nj Inc. Community/Behavioral Health Harrington Avenue and West Street, Closter, NJ 07624 2009-08-10
1366654360 Byungtae Henry Kim Dentist 570 Piermont Rd., Closter, NJ 07624 2007-05-04
1780748566 Dennis Chintala Chiropractor 273 Closter Dock Rd, Closter, NJ 07624 2006-12-19
1578677092 Closter Dental PC Dentist 570 Piermont Rd, #c1, Closter, NJ 07624 2006-08-19
1154330876 Niki Shabnam Mossaded Dentist 539 Durie Ave, Closter, NJ 07624 2006-08-05
1841215407 Great Atlantic & Pacific Tea Company Inc Durable Medical Equipment & Medical Supplies 400 Demarest Ave, Closter, NJ 07624 2006-07-13
1427662394 Trella Blythe Dolgin Physical Therapist 31 Vervalen St, Closter, NJ 07624 2020-09-08
1003204132 Jennifer Anne Surak-zammitti Social Worker 294 Harrington Ave, Closter, NJ 07624 2014-12-23
1629246178 Annette Kherlopian Pharmacist 400 Demarest Ave, Closter, NJ 07624 2008-02-19
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City CLOSTER
Zip Code 07624

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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