Healthcare Provider Details

I. General information

NPI: 1093848905
Provider Name (Legal Business Name): ASPEN MEDICAL ASSOCIATES, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 04/17/2024
Certification Date: 04/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

197 CEDAR LN
TEANECK NJ
07666-4317
US

IV. Provider business mailing address

197 CEDAR LN
TEANECK NJ
07666-4317
US

V. Phone/Fax

Practice location:
  • Phone: 201-928-0200
  • Fax: 201-928-0820
Mailing address:
  • Phone: 201-928-0200
  • Fax: 201-928-0820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSEPH A RIZZO
Title or Position: MANAGING PARTNER
Credential: MD
Phone: 201-928-0200