Medical & Surgical Family Practice Of Passaic P A
LBN: Medical & Surgical Family Practice Of Passaic P A
Medical & Surgical Family Practice Of Passaic P A is an health care organization with primary practice located at 121 Prospect St , Passaic NJ 07055-4926. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty.
Medical & Surgical Family Practice Of Passaic P A can be contacted via phone (973) 777-3006, or through Tello, Carlos via phone (973) 777-3006.
Contact Information
Primary practice address
121 Prospect St
Passaic NJ 07055-4926
Phone: (973) 777-3006
Fax: (973) 777-5587
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 25MA04703100 | New Jersey |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 25MA04703100 | New Jersey |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 25MA04703100 | New Jersey |
Profile Details
| NPI number | 1457482614 |
|---|---|
| LBN Legal business name | Medical & Surgical Family Practice Of Passaic P A |
| DBA Doing business as | |
| Authorized official | Tello, Carlos Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Mar 6th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457482614 | NPPES |
| New Jersey | MEDICAID | 6688608 |
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