MEDICARE: PATERSON EMERGENCY PHYSICIANS PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609817329
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATERSON EMERGENCY PHYSICIANS PC

Provider Business Mailing Address
First Line	:	484 TEMPLE HILL RD
Second Line	:	STE 104
City	:	NEW WINDSOR
State	:	NY
Zip	:	12553-5557
Country	:	US
Telephone Number	:	845-565-3700
Fax Number	:	845-565-3395

Provider Business Practice Location Address
First Line	:	680 BROADWAY
Second Line	:
City	:	PATERSON
State	:	NJ
Zip	:	07514-1422
Country	:	US
Telephone Number	:	973-977-6603
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. GERALD A NERI
Credential	:	MD
Telephone Number	:	845-565-3700

Provider Enumeration Date	:	06/10/2006
Last Update Date	:	10/29/2007

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