Closter Medical Group, Pa

LBN: Closter Medical Group, Pa
Closter Medical Group, Pa is an health care organization with primary practice located at 200 Closter Dock Rd , Closter NJ 07624-1928. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Closter Medical Group, Pa can be contacted via phone (201) 768-3900, or through Churchill, Valure via phone (201) 768-3900.

Contact Information

Primary practice address
200 Closter Dock Rd Closter NJ 07624-1928
Phone: (201) 768-3900
Fax: (201) 768-3840
Website:
Map and Directions
Authorized official contact:
Name: Churchill, Valure
Phone: (201) 768-3900

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1063634459
LBN Legal business name Closter Medical Group, Pa
DBA Doing business as
Authorized official Churchill, Valure
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2007
Last updated Aug 2nd, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063634459 NPPES
New Jersey MEDICAID 7261403

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