Provider Demographics
NPI:1134253438
Name:MEDICOR INTERNAL MEDICINE PC
Entity type:Organization
Organization Name:MEDICOR INTERNAL MEDICINE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ISTIKLAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ARIKAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-586-0300
Mailing Address - Street 1:2271 HIGHWAY 33
Mailing Address - Street 2:SUITE 110
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690
Mailing Address - Country:US
Mailing Address - Phone:609-586-0300
Mailing Address - Fax:
Practice Address - Street 1:2271 HIGHWAY 33
Practice Address - Street 2:SUITE 110
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08690
Practice Address - Country:US
Practice Address - Phone:609-586-0300
Practice Address - Fax:609-586-0325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA071282207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1356402812OtherNPI
NJ8366101Medicaid
NJ044252Medicare PIN
NJG43993Medicare UPIN