MEDICAL MULTISPECIALTY ASSOCIATION PA (NPI# 1891905873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891905873 |
| Entity Type | Organization |
| Organization Name | MEDICAL MULTISPECIALTY ASSOCIATION PA |
| Practice Address |
11-26 Saddle River Rd Fair Lawn NJ 07410-5634 |
| Practice Telephone | 2017969200 |
| Practice Fax Number | 2017967606 |
| Mailing Telephone | 2017969200 |
| Mailing Fax Number | 2017967606 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2015-02-12 |
| Authorized Official Name | DR. BRAD HERMAN (PHYSICIAN) |
| Authorized Official Telephone | 2017969200 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 25MP001995 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 213E00000X | Podiatrist | 25MD00298000 | NJ | Podiatric Medicine & Surgery Service Providers |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
11-26 SADDLE RIVER RD |
| City | FAIR LAWN |
| State | NJ |
| Zip Code | 07410-5634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477557759 | Salvatore Infantino | Family Medicine | 11-26 Saddle River Rd, Fair Lawn, NJ 07410-5634 | 2005-06-02 |
| 1306049234 | Earlab Inc | Audiologist | 11-26 Saddle River Rd, Fair Lawn, NJ 07410-5634 | 2007-06-07 |
| 1902977945 | Eric Fass | Dentist | 11-26 Saddle River Rd, Fair Lawn, NJ 07410-5634 | 2006-11-13 |
| 1790757870 | Jeffrey Lefkowitz | Internal Medicine | 11-26 Saddle River Rd, Fair Lawn, NJ 07410-5634 | 2006-02-03 |
| 1760484729 | Brad Herman | Family Medicine | 11-26 Saddle River Rd, Fair Lawn, NJ 07410-5634 | 2005-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093316 | Sheila Robinson-kiss LLC | Counselor | 0-178 Tunbridge Road, Fair Lawn, NJ 07410 | 2020-05-05 |
| 1750902813 | Pine Group LLC | Point of Service | 0-39 Pine Ave, Fair Lawn, NJ 07410 | 2020-04-29 |
| 1073133153 | Maria Jidriska Myers | Nurse Practitioner | 23-00 Nj-208, Fair Lawn, NJ 07410 | 2020-04-20 |
| 1508350869 | Jill Marie Deperi | Counselor | 22-08 Route 208 South, Fair Lawn, NJ 07410 | 2018-06-20 |
| 1952895419 | Laurel Olson | Counselor | Care Plus Nj Children and Family Services, 17-07 Romaine Street, Fair Lawn, NJ 07410 | 2018-06-19 |
| 1851896583 | Janelle Frazier | Social Worker | Care Plus New Jersey, 17-07 Romaine St, Fair Lawn, NJ 07410 | 2018-03-26 |
| 1457876260 | Daniella Suric | Behavioral Analyst | 2-08 Morlot Avenue, Fair Lawn, NJ 07410 | 2017-08-14 |
| 1912453549 | Marcia Gurfield | Social Worker | 33-03 Ryan Road, Fair Lawn, NJ 07410 | 2016-09-01 |
| 1417330721 | The Arc of Bergen and Passaic Counties, Inc | Day Training, Developmentally Disabled Services | 17-03a Broadway, Fair Lawn, NJ 07410 | 2015-07-06 |
| 1275914228 | Julius Iratagotia | Occupational Therapist | 0-53 26th St, Fair Lawn, NJ 07410 | 2015-06-16 |
| Find all providers in zip 07410 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902216419 | Chirag P Rana | Internal Medicine | 22-18 Broadway Ste 102, Fair Lawn, NJ 07410-3016 | 2014-05-06 |
| 1427351543 | Bethel Medical Care LLC | Internal Medicine | 5-27 6th St, Fair Lawn, NJ 07410-1439 | 2010-12-11 |
| 1629303722 | Morris A Tilson Md Pa | Internal Medicine | 14-23 River Rd, Fair Lawn, NJ 07410-1240 | 2009-10-07 |
| 1376777631 | Hakeem Gbolahan Tijani | Internal Medicine | 0072 34th St, Fair Lawn, NJ 07410-4631 | 2009-05-14 |
| 1043436348 | Ritesh Kalra | Internal Medicine | 15-01 Broadway Ste 8, Fair Lawn, NJ 07410-6018 | 2007-04-17 |
| 1770626111 | Diane Gloria Verga | Internal Medicine | 13-21 Plaza Rd, Fair Lawn, NJ 07410-3311 | 2007-02-15 |
| 1538233358 | Syeda Saleha Farooqui | Internal Medicine | 26-01 26th Street, Ste 105, Fair Lawn, NJ 07410 | 2006-11-20 |
| 1518036748 | David Roman | Internal Medicine | 15 01 Broadway, Suite 12, Fair Lawn, NJ 07410 | 2006-11-06 |
| 1174625263 | Luiza Donkina | Internal Medicine | 40-06 Morlot Ave, Fair Lawn, NJ 07410-4939 | 2006-09-01 |
| 1033221742 | Primary Care Medicine LLC | Internal Medicine | 20-19 Fair Lawn Ave, Fair Lawn, NJ 07140 | 2006-08-31 |
| Find all providers in FAIR LAWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.