Provider Demographics
NPI:1164530978
Name:INTERNAL MEDICINE ASSOC OF NORTH JERSEY PA
Entity Type:Organization
Organization Name:INTERNAL MEDICINE ASSOC OF NORTH JERSEY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:W
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:973-472-3331
Mailing Address - Street 1:842 CLIFTON AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013
Mailing Address - Country:US
Mailing Address - Phone:973-473-3331
Mailing Address - Fax:973-472-7847
Practice Address - Street 1:842 CLIFTON AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013
Practice Address - Country:US
Practice Address - Phone:973-473-3331
Practice Address - Fax:973-472-7847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5148405Medicaid
P1314778OtherOXFORD
4218816OtherAETNA
HM0140023OtherAETNA HMO
=========OtherAMERICAS HEALTH PLAN
=========OtherQUALCARE
HM0140023OtherAETNA HMO
NJ5148405Medicaid
=========OtherANTHEM
=========OtherMULTIPLAN
=========OtherUNITED HEALTHCARE
P1314778OtherOXFORD
=========OtherHORIZON BCBS