Provider Demographics
NPI:1730133794
Name:DRS FRIEDRICH RUBIN PANELLA AND SAPIENZA, LLP
Entity Type:Organization
Organization Name:DRS FRIEDRICH RUBIN PANELLA AND SAPIENZA, LLP
Other - Org Name:ENGLEWOOD ENDOSCOPIC ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHAMMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-569-7044
Mailing Address - Street 1:420 GRAND AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-4152
Mailing Address - Country:US
Mailing Address - Phone:201-569-7044
Mailing Address - Fax:201-569-1999
Practice Address - Street 1:420 GRAND AVE
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-4152
Practice Address - Country:US
Practice Address - Phone:201-569-7044
Practice Address - Fax:201-569-1999
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DRS FRIEDRICH RUBIN PANELLA AND SAPIENZA, LLP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-22
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ003656OtherEMPIRE HEALTH PLAN
NJ490002412OtherRAILROAD MCR
NJA471843OtherOXFORD HEALTH PLAN
NJ311048OtherBCBS
NJ490002412OtherRAILROAD MCR