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MEDICAL MULTISPECIALTY ASSOCIATION PA
NPI 1891905873
Internal Medicine in Fair Lawn, NJ

Active since May 22, 2007CLIA 31D0109830 · Accreditation
11-26 SADDLE RIVER RD, FAIR LAWN, NJ 07410(201) 796-9200(201) 796-7606 Get Directions Write a Review

NPPES record last updated: February 12, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Medical Multispecialty Association Pa NPPES

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

MEDICAL MULTISPECIALTY ASSOCIATION PA (NPI 1891905873) is a healthcare organization registered as an internal medicine in Fair Lawn, New Jersey and active in the NPI registry since May 2007. The organization holds an CLIA Accreditation certificate valid through April 24, 2027 and lists Brad Herman, Physician, as its authorized official.

NPPES Registry Identity

NPI1891905873
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMEDICAL MULTISPECIALTY ASSOCIATION PA
Location Address11-26 SADDLE RIVER RDFair Lawn, NJ 07410-5634
Mailing Address11-26 Saddle River RdFair Lawn, NJ 07410-5634 · (201) 796-9200 · Fax (201) 796-7606
Phone(201) 796-9200
Fax(201) 796-7606
Organization SubpartNo
Authorized OfficialBrad HermanPhysician · (201) 796-9200
Enumeration DateMay 22, 2007
Last NPPES UpdateFebruary 12, 2015
✔ NPI 1891905873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
Also ListedPodiatristTaxonomy 213E00000X · License 25MD00298000 (NJ)
Also ListedPhysician AssistantTaxonomy 363A00000X · License 25MP001995 (NJ)
11-26 SADDLE RIVER RD, Fair Lawn, NJ 07410
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Other Identifiers 3

Medicare PINCL7382NJ
Medicare NSC6243850001NJ
Medicare PIN576664NJ

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 31D0109830

Medical Multispecialty Assoc · Fair Lawn, NJ
Active · expires Apr 24, 2027
CLIA Number31D0109830
Laboratory TypePhysician Office
Certificate Effective DateApril 25, 2025
Certificate Expiration DateApril 24, 2027
Laboratory DirectorSameer Naik
Laboratory Phone(201) 796-9200
Laboratory LocationMedical Multispecialty Assoc11-26 Saddle River Rd, Fair Lawn, NJ 07410
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

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

KATHRYN FUENTES SLP
Speech-Language Pathologist
11-26 SADDLE RIVER RD
FAIR LAWN, NJ 07410
Bergen County (201) 509-8205
ANGELA NYHUIS SLP
Speech-Language Pathologist
11-26 SADDLE RIVER RD
FAIR LAWN, NJ 07410
Bergen County (201) 509-8205
TARA NOCELLA OTR/L
Occupational Therapist
11-26 SADDLE RIVER RD
FAIR LAWN, NJ 07410
Bergen County (201) 509-8205
KAITLYN URCIUOLI
Speech-Language Pathologist
11-26 SADDLE RIVER RD
FAIR LAWN, NJ 07410
Bergen County (201) 509-8205
DR. LINDSEY SOPER OTD, OTR/L
Occupational Therapist
11-26 SADDLE RIVER RD
FAIR LAWN, NJ 07410
Bergen County (201) 509-8205
ROSEMARIE WARD
Speech-Language Pathologist
11-26 SADDLE RIVER RD
FAIR LAWN, NJ 07410
Bergen County (201) 509-8205
JULIA NICOLE BLASIAK
Speech-Language Pathologist
11-26 SADDLE RIVER RD
FAIR LAWN, NJ 07410
Bergen County (201) 509-8205
KINGA SALABAJ
Speech-Language Pathologist
11-26 SADDLE RIVER RD
FAIR LAWN, NJ 07410
Bergen County (201) 509-8205

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 Medical Multispecialty Association PA's NPI number?

The NPI number for Medical Multispecialty Association PA is 1891905873. It was assigned to this organization in the NPPES registry on May 22, 2007.

Where is Medical Multispecialty Association PA located?

Medical Multispecialty Association PA is located at 11-26 Saddle River Rd, Fair Lawn, NJ 07410. The listed phone number is (201) 796-9200.

What is Medical Multispecialty Association PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Medical Multispecialty Association PA hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 31D0109830) is associated with this NPI, valid through April 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Medical Multispecialty Association PA was last updated on February 12, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.