Healthcare Provider Details

I. General information

NPI: 1639303159
Provider Name (Legal Business Name): IPC HOSPITALIST PHYSICIANS OF NEW JERSEY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2009
Last Update Date: 11/11/2022
Certification Date: 11/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 MOUNT KEMBLE AVE
MORRISTOWN NJ
07960-5155
US

IV. Provider business mailing address

1643 NW 136TH AVE STE 100
SUNRISE FL
33323-2857
US

V. Phone/Fax

Practice location:
  • Phone: 305-377-2909
  • Fax: 865-560-7089
Mailing address:
  • Phone: 800-424-3672
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateNJ

VIII. Authorized Official

Name: DR. DAVID J ISTVAN
Title or Position: CEO/PRESIDENT
Credential: M.D.
Phone: 818-766-3502