Provider Demographics
NPI:1689834491
Name:BERGEN ESSEX INFECTIOUS DISEASES PA
Entity Type:Organization
Organization Name:BERGEN ESSEX INFECTIOUS DISEASES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARIFF
Authorized Official - Middle Name:
Authorized Official - Last Name:ADMANI
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:1201-261-4838
Mailing Address - Street 1:716 PASCACK RD
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-4235
Mailing Address - Country:US
Mailing Address - Phone:120-126-1483
Mailing Address - Fax:
Practice Address - Street 1:716 PASCACK RD
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-4235
Practice Address - Country:US
Practice Address - Phone:201-261-4838
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-15
Last Update Date:2008-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06586700207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
G79631Medicare UPIN
NJ017369Medicare PIN