Provider Demographics
NPI:1245225705
Name:PARAMOUNT MEDICAL GROUP, PC
Entity Type:Organization
Organization Name:PARAMOUNT MEDICAL GROUP, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EPIFANIO
Authorized Official - Middle Name:
Authorized Official - Last Name:CALCARA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-222-0048
Mailing Address - Street 1:8 MOUNTAIN BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:WARREN
Mailing Address - State:NJ
Mailing Address - Zip Code:07059-2638
Mailing Address - Country:US
Mailing Address - Phone:908-222-0048
Mailing Address - Fax:908-222-3709
Practice Address - Street 1:8 MOUNTAIN BLVD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:NJ
Practice Address - Zip Code:07059-5614
Practice Address - Country:US
Practice Address - Phone:908-561-8600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-12
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ016033Medicare ID - Type UnspecifiedGROUP MEDICARE NUMBER
016033Medicare PIN