Menlo Park Medical Group P.A.

LBN: Menlo Park Medical Group P.A.
Menlo Park Medical Group P.A. is an health care organization with primary practice located at 111 James Street , Edison NJ 08820-3967. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty. Menlo Park Medical Group P.A. can be contacted via phone (732) 549-2299, or through Creighton, Grace via phone (732) 549-2299.

Contact Information

Primary practice address
111 James Street Edison NJ 08820-3967
Phone: (732) 549-2299
Fax: (732) 549-2262
Website:
Map and Directions
Authorized official contact:
Name: Creighton, Grace
Phone: (732) 549-2299

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X

Profile Details

NPI number 1992727564
LBN Legal business name Menlo Park Medical Group P.A.
DBA Doing business as
Authorized official Creighton, Grace
Entity Organization
Organization subpart 1 No
Enumeration date Jul 24th, 2006
Last updated Aug 8th, 2023 - about last year

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 1992727564 NPPES
New Jersey MEDICAID 2627809

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