C. Dicovsky Medical Group, Llc

LBN: C. Dicovsky Medical Group, Llc
C. Dicovsky Medical Group, Llc is an health care organization with primary practice located at 681 Broadway , Paterson NJ 07514-1421. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Body Imaging. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. C. Dicovsky Medical Group, Llc can be contacted via phone (973) 278-1000, or through Lares, Teresa via phone (973) 278-1000.

Contact Information

Primary practice address
681 Broadway Paterson NJ 07514-1421
Phone: (973) 278-1000
Fax: (973) 278-1709
Website:
Map and Directions
Authorized official contact:
Name: Lares, Teresa
Phone: (973) 278-1000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 059094 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 064703 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 024361 New Jersey

Profile Details

NPI number 1821097940
LBN Legal business name C. Dicovsky Medical Group, Llc
DBA Doing business as
Authorized official Lares, Teresa
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2005
Last updated Mar 10th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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