PASSAIC COUNTY INTEGRATED - NPI 1821174079 - Family Medicine in Paterson, NJ

Q: What is Passaic County Integrated's NPI number?

The NPI number for Passaic County Integrated is 1821174079. It was assigned to this organization in the NPPES registry on October 31, 2006.

Q: What is Passaic County Integrated's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

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About Passaic County Integrated NPPES

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

PASSAIC COUNTY INTEGRATED (NPI 1821174079) is a healthcare organization registered as a geriatric medicine in Paterson, New Jersey and active in the NPI registry since October 2006. The organization lists Jose R Sanchez Pena, Owner, as its authorized official.

NPPES Registry Identity

NPI1821174079

Entity TypeOrganization

Primary Taxonomy207QG0300X

Legal Business NamePASSAIC COUNTY INTEGRATED

Location Address606 BROADWAYPaterson, NJ 07514-1916

Mailing Address606 BroadwayPaterson, NJ 07514-1916 · (973) 278-8818 · Fax (973) 278-6841

Phone(973) 278-8818

Fax(973) 278-6841

Organization SubpartNo

Authorized OfficialJose R Sanchez PenaOwner · (973) 278-8818

Enumeration DateOctober 31, 2006

Last NPPES UpdateApril 20, 2008

✔ NPI 1821174079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QG0300X

Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X

606 BROADWAY, Paterson, NJ 07514

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Other Identifiers 2

Medicare PIN043361NJ

Medicaid6846505NJ

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 14

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

LIDIA L VIDAL FNP

Nurse Practitioner (Family)