Provider Demographics
NPI:1841689668
Name:MULTI DISCIPLINARY SPECIALISTS LLC
Entity type:Organization
Organization Name:MULTI DISCIPLINARY SPECIALISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER /PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EMRAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:SHEIKH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-549-8860
Mailing Address - Street 1:201 ROUTE 17 N. 11TH FLOOR, SUITE 11019
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07070-2574
Mailing Address - Country:US
Mailing Address - Phone:201-549-8860
Mailing Address - Fax:201-549-8861
Practice Address - Street 1:201 ROUTE 17 N. 11TH FLOOR, SUITE 11019
Practice Address - Street 2:
Practice Address - City:RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07070-2574
Practice Address - Country:US
Practice Address - Phone:201-549-8860
Practice Address - Fax:201-549-8861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-16
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA077917002086S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the HandGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJI11494Medicare UPIN