MEDICAL MULTISPECIALTY ASSOCIATION PA
NPI 1891905873
Internal Medicine in Fair Lawn, NJ
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
Specialties & Licenses 6
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Medical Multispecialty Association Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Medical Multispecialty Association PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Jersey City, NJ 07302
Pontiac, MI 48341
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NJFrequently 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.
Is Medical Multispecialty Association PA enrolled in Medicare?
Yes. Medical Multispecialty Association PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Medical Multispecialty Association PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians reassign their Medicare billing to Medical Multispecialty Association PA, in Diagnostic Radiology, Family Practice, Gastroenterology, Internal Medicine, Podiatry and 1 other specialty. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Medical Multispecialty Association Pa · NPI 1891905873
Internal Medicine organization in Fair Lawn, New Jersey. Organization record, active in the CMS NPPES registry since May 22, 2007.
## Identity
- **NPI:** 1891905873 (Entity type: Organization)
- **Enumerated:** May 22, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Brad Herman, PHYSICIAN
## Practice location
- **Address:** 11-26 SADDLE RIVER RD, Fair Lawn, NJ 07410-5634
- **Phone:** (201) 796-9200 · **Fax:** (201) 796-7606
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Gastroenterology (2), Internal Medicine (2), Podiatry (2); 2 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 12, 2015
- **Other identifiers:** Medicare PIN CL7382 (NJ); Medicare NSC 6243850001 (NJ); Medicare PIN 576664 (NJ)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1891905873) · Data from the CMS NPPES public registry.