PROSPECT MEDICAL OFFICE, LLC
NPI 1316198922
Specialist in Midland Park, NJ

Active since October 02, 2008
301 GODWIN AVE, MIDLAND PARK, NJ 07432(201) 444-4526(201) 689-0638 Get Directions Write a Review

NPPES record last updated: October 2, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Prospect Medical Office, Llc NPPES

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

PROSPECT MEDICAL OFFICE, LLC (NPI 1316198922) is a healthcare organization registered as a specialist in Midland Park, New Jersey and active in the NPI registry since October 2008. The organization lists Bennett P Leifer, Managing Physician, as its authorized official.

NPPES Registry Identity

NPI1316198922
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePROSPECT MEDICAL OFFICE, LLC
Location Address301 GODWIN AVEMidland Park, NJ 07432-1544
Mailing Address301 Godwin AveMidland Park, NJ 07432-1544 · (201) 444-4526 · Fax (201) 689-0638
Fax(201) 689-0638
Organization SubpartYes
Authorized OfficialBennett P LeiferManaging Physician · (201) 444-4526
Enumeration DateOctober 2, 2008
NPI 1316198922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

301 GODWIN AVE, Midland Park, NJ 07432

Other Identifiers 1

Medicare PIN613777NJ

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 11

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

Internal Medicine (Rheumatology)
301 GODWIN AVE
MIDLAND PARK, NJ 07432
Internal Medicine
301 GODWIN AVE
MIDLAND PARK, NJ 07432
Family Medicine (Geriatric Medicine)
301 GODWIN AVE
MIDLAND PARK, NJ 07432
Nurse Practitioner (Family)
301 GODWIN AVE
MIDLAND PARK, NJ 07432
Internal Medicine (Rheumatology)
301 GODWIN AVE
MIDLAND PARK, NJ 07432
Nurse Practitioner
301 GODWIN AVE
MIDLAND PARK, NJ 07432
Nurse Practitioner (Family)
301 GODWIN AVE
MIDLAND PARK, NJ 07432
Internal Medicine
301 GODWIN AVE
MIDLAND PARK, NJ 07432

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 Prospect Medical Office, LLC's NPI number?

The NPI number for Prospect Medical Office, LLC is 1316198922. It was assigned to this organization in the NPPES registry on October 2, 2008.

Where is Prospect Medical Office, LLC located?

Prospect Medical Office, LLC is located at 301 Godwin Ave, Midland Park, NJ 07432. The listed phone number is (201) 444-4526.

What is Prospect Medical Office, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Prospect Medical Office, LLC was last updated on October 2, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.