Healthcare Provider Details

I. General information

NPI: 1477999068
Provider Name (Legal Business Name): STRATEGIC PRACTICE SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2013
Last Update Date: 05/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 FROM RD MACK CALI CENTRE II SUITE 565
PARAMUS NJ
07652-3517
US

IV. Provider business mailing address

650 FROM RD MACK CALI CENTRE II SUITE 565
PARAMUS NJ
07652-3517
US

V. Phone/Fax

Practice location:
  • Phone: 201-477-1564
  • Fax: 201-549-6316
Mailing address:
  • Phone: 201-477-1564
  • Fax: 201-549-6316

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
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: BRIAN ROTA
Title or Position: DIRECTOR
Credential:
Phone: 201-477-1564