Provider Demographics
NPI:1013066695
Name:NORTH JERSEY MEDICAL PRACTICE ASSOCIATES
Entity Type:Organization
Organization Name:NORTH JERSEY MEDICAL PRACTICE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GROUP PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MUNZER
Authorized Official - Middle Name:M
Authorized Official - Last Name:ARNOUK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-942-5224
Mailing Address - Street 1:502 HAMBURG TPKE
Mailing Address - Street 2:SUITE 108
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-8431
Mailing Address - Country:US
Mailing Address - Phone:973-942-5224
Mailing Address - Fax:973-942-7443
Practice Address - Street 1:502 HAMBURG TPKE
Practice Address - Street 2:SUITE 108
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-8431
Practice Address - Country:US
Practice Address - Phone:973-942-5224
Practice Address - Fax:973-942-7443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty