Healthcare Provider Details

I. General information

NPI: 1720633969
Provider Name (Legal Business Name): VISITING DOCTORS ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2019
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3807 BERGENLINE AVE
UNION CITY NJ
07087-4860
US

IV. Provider business mailing address

3807 BERGENLINE AVE
UNION CITY NJ
07087-4860
US

V. Phone/Fax

Practice location:
  • Phone: 201-582-3000
  • Fax: 201-489-7800
Mailing address:
  • Phone: 201-582-3000
  • Fax: 201-489-7800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: IDIR SARADOUNI
Title or Position: OWNER
Credential:
Phone: 201-691-4828