Provider Demographics
NPI:1780443465
Name:ONEHEALTH MEDICAL GROUP LLC
Entity type:Organization
Organization Name:ONEHEALTH MEDICAL GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ATOOT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-723-8699
Mailing Address - Street 1:532 WINTERBURN GRV
Mailing Address - Street 2:
Mailing Address - City:CLIFFSIDE PK
Mailing Address - State:NJ
Mailing Address - Zip Code:07010-2913
Mailing Address - Country:US
Mailing Address - Phone:908-249-3271
Mailing Address - Fax:
Practice Address - Street 1:532 WINTERBURN GRV
Practice Address - Street 2:
Practice Address - City:CLIFFSIDE PK
Practice Address - State:NJ
Practice Address - Zip Code:07010-2913
Practice Address - Country:US
Practice Address - Phone:908-249-3271
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-15
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty