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IMMEDICENTER
NPI 1275639031
Family Medicine in Clifton, NJ

Active since September 16, 2006
1355 BROAD ST, CLIFTON, NJ 07013(973) 778-5566(973) 778-4044 Get Directions Write a Review

NPPES record last updated: March 18, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Immedicenter NPPES

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

IMMEDICENTER (NPI 1275639031) is a healthcare organization registered as a family medicine in Clifton, New Jersey and active in the NPI registry since September 2006. The organization lists Maria C Squirlock, Administrator, as its authorized official.

NPPES Registry Identity

NPI1275639031
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameIMMEDICENTER
Location Address1355 BROAD STClifton, NJ 07013-4221
Mailing Address1355 Broad StClifton, NJ 07013-4221 · (973) 778-5566 · Fax (973) 778-4044
Phone(973) 778-5566
Fax(973) 778-4044
Organization SubpartNo
Authorized OfficialMaria C SquirlockAdministrator · (973) 778-5566
Enumeration DateSeptember 16, 2006
Last NPPES UpdateMarch 18, 2009
✔ NPI 1275639031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1355 BROAD ST, Clifton, NJ 07013
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Other Identifiers 3

Medicare NSC0995970001NJ
OtherCB7304NJ · Railroad Medicare
Medicare ID-Type Unspecified527877NJ · Medicare Group Number

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

MPV NEW JERSEY MD SERVICES PC
Durable Medical Equipment & Medical Supplies
1355 BROAD ST
CLIFTON, NJ 07013
Passaic County (973) 778-5566
MRS. NADINE MARIE AKTAN APN
Nurse Practitioner (Family)
1355 BROAD ST
CLIFTON, NJ 07013
Passaic County (973) 778-5566
MRS. CYNTHIA K BOWYER APN
Family Medicine
1355 BROAD ST
CLIFTON, NJ 07013
Passaic County (973) 778-5566
DR. TEJINDERPAUL SINGH KAHLON M.D.
Family Medicine
1355 BROAD ST
CLIFTON, NJ 07013
Passaic County (973) 778-5566
DR. THOMAS DEL CASALE D.O.
Family Medicine
1355 BROAD ST
CLIFTON, NJ 07013
Passaic County (973) 778-5566
MISS ELEANOR G SCHIAVO RD
Dietitian, Registered
1355 BROAD ST
CLIFTON, NJ 07013
Passaic County (973) 778-5566
DR. MICHAEL PAUL BASISTA M.D.
Family Medicine
1355 BROAD ST
CLIFTON, NJ 07013
Passaic County (973) 778-5566
MS. MAUREEN M KELLEHER MD
Family Medicine
1355 BROAD ST
CLIFTON, NJ 07013
Passaic County (976) 377-8556

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 Immedicenter's NPI number?

The NPI number for Immedicenter is 1275639031. It was assigned to this organization in the NPPES registry on September 16, 2006.

Where is Immedicenter located?

Immedicenter is located at 1355 Broad St, Clifton, NJ 07013. The listed phone number is (973) 778-5566.

What is Immedicenter's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Immedicenter was last updated on March 18, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.