Provider Demographics
NPI:1952024358
Name:INTEGRITY HEALTH OF NJ, PC
Entity Type:Organization
Organization Name:INTEGRITY HEALTH OF NJ, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FARIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:NASRIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-994-5663
Mailing Address - Street 1:100 SPRINGDALE RD UNIT A3-356
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-3300
Mailing Address - Country:US
Mailing Address - Phone:833-349-2001
Mailing Address - Fax:
Practice Address - Street 1:228 MAIN ST
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07095-1921
Practice Address - Country:US
Practice Address - Phone:732-527-1306
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-21
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty