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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

21ST AVENUE PRIMARY CARE PA

Active Organization

21ST AVENUE PRIMARY CARE PA is a Family Medicine organization located in PATERSON, New Jersey. NPI 1609163716 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · PATERSON, NJ

Registration Details

NPI Number
1609163716
Provider Type
Organization
NPI Issued
Jul 9, 2011 (14.915015937414 yrs)
Last Updated
Jul 9, 2011
License
25MA05907400 (NJ)

Practice Information

Address
534 21ST AVE
PATERSON, NJ, 075131337
Browse NJ providers · Browse ZIP 07513
Phone
9739255400
Fax
9739255403
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.