Provider Demographics
NPI:1114011012
Name:PATIENTS FIRST LTD LLC
Entity Type:Organization
Organization Name:PATIENTS FIRST LTD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SHEREMET
Authorized Official - Middle Name:
Authorized Official - Last Name:GASHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-998-1800
Mailing Address - Street 1:99 FOREST AVENUE
Mailing Address - Street 2:
Mailing Address - City:GLEN RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07028-2413
Mailing Address - Country:US
Mailing Address - Phone:973-926-1351
Mailing Address - Fax:973-926-9164
Practice Address - Street 1:11 RIDGE ROAD
Practice Address - Street 2:
Practice Address - City:NORTH ARLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07031
Practice Address - Country:US
Practice Address - Phone:201-998-1800
Practice Address - Fax:201-998-1891
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PATIENTS FIRST LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-03
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5801633OtherAETNA
NJ=========OtherHORIZON
NJG41554Medicare UPIN