Healthcare Provider Details

I. General information

NPI: 1508525700
Provider Name (Legal Business Name): MAIMON CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2021
Last Update Date: 12/15/2021
Certification Date: 12/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 STRAIGHT ST STE 2B
PATERSON NJ
07503-3240
US

IV. Provider business mailing address

111 BALDWIN AVE
JERSEY CITY NJ
07306-2020
US

V. Phone/Fax

Practice location:
  • Phone: 201-500-3000
  • Fax:
Mailing address:
  • Phone: 718-810-8768
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MOSHE KUPFERSTEIN
Title or Position: PRESIDENT
Credential: DO
Phone: 718-810-8768