New Jersey Keystone Physicians,Pa
LBN: New Jersey Keystone Physicians,Pa
New Jersey Keystone Physicians,Pa is an health care organization with primary practice located at 1200 E Ridgewood Ave West Wing, Second Floor, Ridgewood NJ 07450-3957. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
New Jersey Keystone Physicians,Pa can be contacted via phone (201) 447-3690, or through Panagiotou, Nicholas Demetrios via phone (201) 447-3690.
Contact Information
Primary practice address
1200 E Ridgewood Ave West Wing, Second Floor
Ridgewood NJ 07450-3957
Phone: (201) 447-3690
Fax: (201) 447-3691
Website:
Authorized official contact:
Name: Panagiotou, Nicholas Demetrios Doctor of Medicine (MD)
Phone: (201) 447-3690
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25MAO7320300 | New Jersey |
Profile Details
| NPI number | 1215123732 |
|---|---|
| LBN Legal business name | New Jersey Keystone Physicians,Pa |
| DBA Doing business as | |
| Authorized official | Panagiotou, Nicholas Demetrios Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 18th, 2007 |
| Last updated | May 28th, 2013 - about 11 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 | 1215123732 | NPPES |
| New Jersey | Other | 201973014 | BUSINESS TAX ID |
| New Jersey | Other | 087299 | BUSINESS TAX ID |
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