West Paterson Specialty Clinic Inc

LBN: West Paterson Specialty Clinic Inc
West Paterson Specialty Clinic Inc is an health care organization with primary practice located at 871 Mcbride Ave , Woodland Park NJ 07424-2748. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as the primary health care specialty. West Paterson Specialty Clinic Inc can be contacted via phone (973) 569-4488, or through Ibrahim, Mohammad S via phone (973) 569-4488.

Contact Information

Primary practice address
871 Mcbride Ave Woodland Park NJ 07424-2748
Phone: (973) 569-4488
Fax: (973) 569-4743
Website:
Map and Directions
Authorized official contact:
Name: Ibrahim, Mohammad S Doctor of Medicine (MD)
Phone: (973) 569-4488

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MA61942 New Jersey

Profile Details

NPI number 1730135682
LBN Legal business name West Paterson Specialty Clinic Inc
DBA Doing business as
Authorized official Ibrahim, Mohammad S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2006
Last updated Mar 14th, 2011 - about 13 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 1730135682 NPPES
New Jersey MEDICAID 8549401
New Jersey MEDICAID 8472505

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