Provider Demographics
NPI:1790950160
Name:CONSTANTINE BINAS, MD,PA
Entity Type:Organization
Organization Name:CONSTANTINE BINAS, MD,PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CONSTANTINE
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:BINAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-569-0200
Mailing Address - Street 1:177 N DEAN ST
Mailing Address - Street 2:SUITE 208
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-2533
Mailing Address - Country:US
Mailing Address - Phone:201-569-0200
Mailing Address - Fax:201-569-8287
Practice Address - Street 1:177 N DEAN ST
Practice Address - Street 2:SUITE 208
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-2533
Practice Address - Country:US
Practice Address - Phone:201-569-0200
Practice Address - Fax:201-569-8287
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CONSTANTINE BINAS MD PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-28
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA68938207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8015503Medicaid
NJH04978Medicare UPIN
NJ032023RLJMedicare PIN