Provider Demographics
NPI:1083820161
Name:S.P. ASSOCIATES, D.O., P.C.
Entity Type:Organization
Organization Name:S.P. ASSOCIATES, D.O., P.C.
Other - Org Name:STEVEN PALLY, D.O.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:PALLY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:973-822-0770
Mailing Address - Street 1:10 JAMES ST
Mailing Address - Street 2:SUITE 140
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932-1405
Mailing Address - Country:US
Mailing Address - Phone:973-822-0770
Mailing Address - Fax:973-822-2062
Practice Address - Street 1:10 JAMES ST
Practice Address - Street 2:SUITE 140
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-1405
Practice Address - Country:US
Practice Address - Phone:973-822-0770
Practice Address - Fax:973-822-2062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2008-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
075224Medicare PIN