Staller Family Practice

LBN: Staller Family Practice
Staller Family Practice is an health care organization with primary practice located at 23 S 1St Ave , Highland Park NJ 08904-2113. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Staller Family Practice can be contacted via phone (732) 874-6063, or through Staller, Branden via phone (732) 874-6063.

Contact Information

Primary practice address
23 S 1St Ave Highland Park NJ 08904-2113
Phone: (732) 874-6063
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Staller, Branden Doctor of Medicine (MD)
Phone: (732) 874-6063

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1700529815
LBN Legal business name Staller Family Practice
DBA Doing business as
Authorized official Staller, Branden Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2022
Last updated Jun 22nd, 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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