Provider Demographics
NPI:1235290578
Name:ADAMOLI & MCGORTY, MDS, LLC
Entity Type:Organization
Organization Name:ADAMOLI & MCGORTY, MDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:J
Authorized Official - Last Name:ADAMOLI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-670-7800
Mailing Address - Street 1:190 DAYTON ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450-4422
Mailing Address - Country:US
Mailing Address - Phone:201-670-7800
Mailing Address - Fax:201-670-7720
Practice Address - Street 1:190 DAYTON ST
Practice Address - Street 2:SUITE 1
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450-4422
Practice Address - Country:US
Practice Address - Phone:201-670-7800
Practice Address - Fax:201-670-7720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA66729207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty