Ridgewood Infectious Disease Associates, Pa

LBN: Ridgewood Infectious Disease Associates, Pa
Ridgewood Infectious Disease Associates, Pa is an health care organization with primary practice located at 141 Dayton St Suite 201, Ridgewood NJ 07450-4496. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Ridgewood Infectious Disease Associates, Pa can be contacted via phone (201) 447-6468, or through Knackmuhs, Gary G via phone (201) 447-6468.

Contact Information

Primary practice address
141 Dayton St Suite 201 Ridgewood NJ 07450-4496
Fax: (201) 447-3189
Website:
Authorized official contact:
Name: Knackmuhs, Gary G Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25MA03896800 New Jersey

Profile Details

NPI number 1487851903
LBN Legal business name Ridgewood Infectious Disease Associates, Pa
DBA Doing business as
Authorized official Knackmuhs, Gary G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2007
Last updated Apr 20th, 2008 - about 17 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 1487851903 NPPES
New Jersey Other 1084470 AETNA HMO GROUP #
New Jersey Other 7117748 AETNA HMO GROUP #
New Jersey MEDICAID 3240509 AETNA HMO GROUP #
New Jersey Other CM1037 AETNA HMO GROUP #

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