Provider Demographics
NPI:1023064052
Name:INTERNAL MEDICINE, P.A.
Entity type:Organization
Organization Name:INTERNAL MEDICINE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:S
Authorized Official - Last Name:UMER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-836-4248
Mailing Address - Street 1:155 CEDAR LN
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-4301
Mailing Address - Country:US
Mailing Address - Phone:201-836-4248
Mailing Address - Fax:201-836-5420
Practice Address - Street 1:155 CEDAR LN
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-4301
Practice Address - Country:US
Practice Address - Phone:201-836-4248
Practice Address - Fax:201-836-5420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ821996Medicare PIN