Healthcare Provider Details

I. General information

NPI: 1740593961
Provider Name (Legal Business Name): COMPREHENSIVE MEDICAL SERVICES P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2010
Last Update Date: 09/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 WEST CENTURY ROAD, SUITE 107
PARAMUS NJ
07652
US

IV. Provider business mailing address

37 W CENTURY RD STE 107
PARAMUS NJ
07652-1409
US

V. Phone/Fax

Practice location:
  • Phone: 201-967-1111
  • Fax: 855-967-1112
Mailing address:
  • Phone: 201-967-1111
  • Fax: 855-967-1112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number246396
License Number StateNY

VII. Legacy identifiers

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

VIII. Authorized Official

Name: LEV GRINMAN
Title or Position: PHYSICIAN
Credential:
Phone: 646-673-1660