Healthcare Provider Details

I. General information

NPI: 1194804930
Provider Name (Legal Business Name): MEDSCAN MEDICAL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 MARKET ST
SADDLE BROOK NJ
07663-4830
US

IV. Provider business mailing address

6815 BERGENLINE AVE
GUTTENBERG NJ
07093-1807
US

V. Phone/Fax

Practice location:
  • Phone: 201-712-1919
  • Fax: 201-712-1780
Mailing address:
  • Phone: 201-453-2025
  • Fax: 201-453-2029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MIRZA BEG
Title or Position: OWNER
Credential: M.D.
Phone: 201-453-2025