Provider Demographics
NPI:1750675328
Name:COMPLETE MEDICAL ASSOCIATES, LLC
Entity Type:Organization
Organization Name:COMPLETE MEDICAL ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGARITA
Authorized Official - Middle Name:
Authorized Official - Last Name:BORGHINI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-214-1841
Mailing Address - Street 1:1300 MAIN AVE
Mailing Address - Street 2:SUITE 2D
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07011-2266
Mailing Address - Country:US
Mailing Address - Phone:973-246-6901
Mailing Address - Fax:973-246-6902
Practice Address - Street 1:1300 MAIN AVE
Practice Address - Street 2:SUITE 2D
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07011-2266
Practice Address - Country:US
Practice Address - Phone:973-246-6901
Practice Address - Fax:973-246-6902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-01
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB08877300207Q00000X
NJ25MA07035400207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8170207Medicaid
NJ8170207Medicaid
NJH11903Medicare UPIN