Healthcare Provider Details

I. General information

NPI: 1548973670
Provider Name (Legal Business Name): PRESTIGE MEDICAL SERVICES P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2023
Last Update Date: 08/14/2023
Certification Date: 08/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 WESCOTT DR
FLEMINGTON NJ
08822-4603
US

IV. Provider business mailing address

PO BOX 629
FRANKLIN LAKES NJ
07417-0629
US

V. Phone/Fax

Practice location:
  • Phone: 201-847-8079
  • Fax: 201-847-0059
Mailing address:
  • Phone: 201-847-8079
  • Fax: 201-847-0059

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: MINA MOSAAD
Title or Position: PRESIDENT
Credential: DO
Phone: 908-300-3700