Healthcare Provider Details

I. General information

NPI: 1598934580
Provider Name (Legal Business Name): ARASH EMAMI, M.D.,PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2008
Last Update Date: 02/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

504 VALLEY RD 2ND FLOOR
WAYNE NJ
07470-3534
US

IV. Provider business mailing address

504 VALLEY RD 2ND FLOOR
WAYNE NJ
07470-3534
US

V. Phone/Fax

Practice location:
  • Phone: 973-686-0700
  • Fax: 973-686-0701
Mailing address:
  • Phone: 973-686-0700
  • Fax: 973-686-0701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number230497
License Number StateNY

VIII. Authorized Official

Name: EDWARD AMOS
Title or Position: ACCOUNT REPRESENTATIVE
Credential:
Phone: 845-363-4830