Healthcare Provider Details
I. General information
NPI: 1356048573
Provider Name (Legal Business Name): HARMONY MEDICAL SERVICES OF NEW JERSEY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/08/2023
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
28 VALLEY RD STE 148
MONTCLAIR NJ
07042-2709
US
IV. Provider business mailing address
PO BOX 40409
BELFAST ME
04915-1255
US
V. Phone/Fax
- Phone: 973-707-3911
- Fax: 201-918-4037
- Phone: 248-266-4200
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JEFFREY
STEVENS
Title or Position: OWNER
Credential: DO
Phone: 216-678-4599