Healthcare Provider Details
I. General information
NPI: 1356204770
Provider Name (Legal Business Name): HOPE MEDICAL GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/03/2025
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
120 FORREST AVE
PARAMUS NJ
07652
US
IV. Provider business mailing address
277 FOREST AVENUE 120
PARAMUS NJ
07652
US
V. Phone/Fax
- Phone: 201-806-6153
- Fax: 201-613-9711
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PHILIP
FERMANO
Title or Position: MD
Credential:
Phone: 201-566-2675