MEDICARE: FRANK G. ALBERTA, M.D., P.C.

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	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician		NJ

General Provider Information

NPI Number	:	1609971373
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANK G. ALBERTA, M.D., P.C.

Provider Business Mailing Address
First Line	:	539 BENNINGTON TER
Second Line	:
City	:	RIDGEWOOD
State	:	NJ
Zip	:	07450-2001
Country	:	US
Telephone Number	:	201-612-7868
Fax Number	:

Provider Business Practice Location Address
First Line	:	650 FROM RD STE 490
Second Line	:
City	:	PARAMUS
State	:	NJ
Zip	:	07652-3517
Country	:	US
Telephone Number	:	201-639-6620
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. FRANCIS GERARD ALBERTA
Credential	:	M.D.
Telephone Number	:	201-342-7221

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	07/25/2024

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