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CLOSTER MEDICAL GROUP, PA
NPI 1063634459
Clinic/Center - Primary Care in Closter, NJ

Active since May 03, 2007
200 CLOSTER DOCK RD, CLOSTER, NJ 07624(201) 768-3900(201) 768-3840 Get Directions Write a Review

NPPES record last updated: August 2, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Closter Medical Group, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLOSTER MEDICAL GROUP, PA (NPI 1063634459) is a healthcare organization registered as a primary care in Closter, New Jersey and active in the NPI registry since May 2007. The organization lists Valure Churchill, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1063634459
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCLOSTER MEDICAL GROUP, PA
Location Address200 CLOSTER DOCK RDCloster, NJ 07624-1928
Mailing Address200 Closter Dock RdCloster, NJ 07624-1928 · (201) 768-3900 · Fax (201) 768-3840
Phone(201) 768-3900
Fax(201) 768-3840
Organization SubpartNo
Authorized OfficialValure ChurchillOffice Manager · (201) 768-3900
Enumeration DateMay 3, 2007
Last NPPES UpdateAugust 2, 2010
✔ NPI 1063634459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
200 CLOSTER DOCK RD, Closter, NJ 07624
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Other Identifiers 2

Medicare ID-Type Unspecified635385NJ
Medicaid7261403NJ

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HELENA NOUMAN M.D.
Specialist
200 CLOSTER DOCK RD
CLOSTER, NJ 07624
Bergen County (201) 768-3900
JUN S KIM LAC.
Acupuncturist
200 CLOSTER DOCK RD
CLOSTER, NJ 07624
Bergen County (201) 658-4225
NORTHERN VALLEY PAIN CENTER INC
Anesthesiology
200 CLOSTER DOCK RD
CLOSTER, NJ 07624
Bergen County (877) 877-6900
MARK NEIL NATHANSON DPM
Podiatrist
200 CLOSTER DOCK RD
CLOSTER, NJ 07624
Bergen County (201) 784-1900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Closter Medical Group, PA's NPI number?

The NPI number for Closter Medical Group, PA is 1063634459. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Closter Medical Group, PA located?

Closter Medical Group, PA is located at 200 Closter Dock Rd, Closter, NJ 07624. The listed phone number is (201) 768-3900.

What is Closter Medical Group, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Closter Medical Group, PA was last updated on August 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.