Healthcare Provider Details

I. General information

NPI: 1013066695
Provider Name (Legal Business Name): NORTH JERSEY MEDICAL PRACTICE ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 HAMBURG TPKE SUITE 108
WAYNE NJ
07470-8431
US

IV. Provider business mailing address

502 HAMBURG TPKE SUITE 108
WAYNE NJ
07470-8431
US

V. Phone/Fax

Practice location:
  • Phone: 973-942-5224
  • Fax: 973-942-7443
Mailing address:
  • Phone: 973-942-5224
  • Fax: 973-942-7443

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNJ

VIII. Authorized Official

Name: MUNZER M. ARNOUK
Title or Position: GROUP PRESIDENT
Credential: M.D.
Phone: 973-942-5224