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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 7261403 | 05 |
Street Address |
200 CLOSTER DOCK RD |
City | CLOSTER |
State | NJ |
Zip Code | 07624-1928 |
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 |
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 |
Find all providers in zip 07624 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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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.