Provider Demographics
NPI:1033239819
Name:NORTH JERSEY HIP AND KNEE CENTER PC
Entity Type:Organization
Organization Name:NORTH JERSEY HIP AND KNEE CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AIMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RIFAI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:973-594-8500
Mailing Address - Street 1:1033 US HIGHWAY 46
Mailing Address - Street 2:SUITE A206
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-2473
Mailing Address - Country:US
Mailing Address - Phone:973-594-8500
Mailing Address - Fax:973-594-8505
Practice Address - Street 1:1033 US HIGHWAY 46
Practice Address - Street 2:SUITE A206
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-2473
Practice Address - Country:US
Practice Address - Phone:973-594-8500
Practice Address - Fax:973-594-8505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2015-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMBO69700207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJG74473Medicare UPIN