Provider Demographics
NPI:1417372251
Name:PULMONARY AND CRITICAL CARE ASSOCIATES OF NEW JERSEY
Entity Type:Organization
Organization Name:PULMONARY AND CRITICAL CARE ASSOCIATES OF NEW JERSEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ENIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBERAQDAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-925-4850
Mailing Address - Street 1:380 BELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:HALEDON
Mailing Address - State:NJ
Mailing Address - Zip Code:07508-1353
Mailing Address - Country:US
Mailing Address - Phone:973-925-4850
Mailing Address - Fax:
Practice Address - Street 1:380 BELMONT AVE
Practice Address - Street 2:
Practice Address - City:HALEDON
Practice Address - State:NJ
Practice Address - Zip Code:07508-1353
Practice Address - Country:US
Practice Address - Phone:973-925-4850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-04
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty