Mto Practice, Llc

LBN: Mto Practice, Llc
Mto Practice, Llc is an health care organization with primary practice located at 17 Elm Ave Fl 3 , Hackensack NJ 07601-4702. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as the primary health care specialty. Mto Practice, Llc can be contacted via phone (201) 967-8425, or through Omidvari, Karan via phone (201) 967-8425.

Contact Information

Primary practice address
17 Elm Ave Fl 3 Hackensack NJ 07601-4702
Phone: (201) 967-8425
Fax: (201) 263-4665
Website:
Map and Directions
Authorized official contact:
Name: Omidvari, Karan Doctor of Medicine (MD)
Phone: (201) 967-8425

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X

Profile Details

NPI number 1538706825
LBN Legal business name Mto Practice, Llc
DBA Doing business as
Authorized official Omidvari, Karan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2019
Last updated Jan 7th, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1538706825 NPPES
New Jersey Other 25MA05638100 STATE LICENSE

Popular Providers