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Contact Information

MEDICAL SERVICE PROFESSIONALS OF NJ LLC
125 CHUBB AVE
SUITE 100-S
LYNDHURST, NJ07071-3504
 Phone: 201-559-7600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
 

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MEDICAL SERVICE PROFESSIONALS OF NJ LLC

NPI # 1972044923
LBN Legal business name MEDICAL SERVICE PROFESSIONALS OF NJ LLC
Authorized official KELLY FONTANA - (DIRECTOR OF CLINICAL COMPLIANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 03/10/2017
Last updated 10/12/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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