Healthcare Provider Details

I. General information

NPI: 1497738801
Provider Name (Legal Business Name): ALI INANC SECKIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/21/2005
Last Update Date: 03/12/2025
Certification Date: 03/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

470 N. FRANKLIN TPK, STE 107
RAMSEY NJ
07446
US

IV. Provider business mailing address

470 N. FRANKLIN TPK, STE 107
RAMSEY NJ
07446
US

V. Phone/Fax

Practice location:
  • Phone: 201-809-3000
  • Fax: 201-809-3300
Mailing address:
  • Phone: 201-809-3000
  • Fax: 201-809-3300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number25MA07745200
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number25MA07745200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: