Provider Demographics
NPI:1568570489
Name:INTERNAL MEDICINE OF MORRIS COUNTY LLC
Entity Type:Organization
Organization Name:INTERNAL MEDICINE OF MORRIS COUNTY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL VP FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-682-9942
Mailing Address - Street 1:195 RT#46
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MINE HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:07803-3164
Mailing Address - Country:US
Mailing Address - Phone:973-366-6060
Mailing Address - Fax:973-366-1423
Practice Address - Street 1:195 ROUTE 46
Practice Address - Street 2:SUITE 102
Practice Address - City:MINE HILL
Practice Address - State:NJ
Practice Address - Zip Code:07803-3164
Practice Address - Country:US
Practice Address - Phone:973-366-6060
Practice Address - Fax:973-366-1423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2023-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Multi-Specialty
No208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ190630Medicare PIN