Provider Demographics
NPI:1295701233
Name:I PALTROWITZ MD J GOLDFARB MD MSCHMIDT MD PA
Entity type:Organization
Organization Name:I PALTROWITZ MD J GOLDFARB MD MSCHMIDT MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:IRVING
Authorized Official - Middle Name:
Authorized Official - Last Name:PALTROWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-837-9449
Mailing Address - Street 1:1086 TEANECK RD
Mailing Address - Street 2:SUITE 4C
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-4854
Mailing Address - Country:US
Mailing Address - Phone:201-837-9449
Mailing Address - Fax:201-578-1699
Practice Address - Street 1:1086 TEANECK RD
Practice Address - Street 2:SUITE 4C
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-4854
Practice Address - Country:US
Practice Address - Phone:201-837-9449
Practice Address - Fax:201-578-1699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-28
Last Update Date:2018-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ445493Medicare PIN