Provider Demographics
NPI:1245451988
Name:NORTHFIELD MEDICAL ASSOCIATES LLC
Entity type:Organization
Organization Name:NORTHFIELD MEDICAL ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:BOORUJY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:973-422-9595
Mailing Address - Street 1:65 E NORTHFIELD RD
Mailing Address - Street 2:UNIT H
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-4231
Mailing Address - Country:US
Mailing Address - Phone:973-422-9595
Mailing Address - Fax:973-422-9390
Practice Address - Street 1:65 E NORTHFIELD RD
Practice Address - Street 2:UNIT H
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-4231
Practice Address - Country:US
Practice Address - Phone:973-422-9595
Practice Address - Fax:973-422-9390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB06228000207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty