Healthcare Provider Details

I. General information

NPI: 1245477348
Provider Name (Legal Business Name): ALLEN N. SAPADIN, M.D., PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2009
Last Update Date: 01/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

370 SUMMIT AVE
HACKENSACK NJ
07601-1413
US

IV. Provider business mailing address

280 ARCH RD
ENGLEWOOD NJ
07631-4401
US

V. Phone/Fax

Practice location:
  • Phone: 201-525-0057
  • Fax: 201-525-0149
Mailing address:
  • Phone: 201-816-9066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. ALLEN NATHAN MCLEAN
Title or Position: OWNER
Credential: MD
Phone: 201-525-0057