Healthcare Provider Details

I. General information

NPI: 1437937372
Provider Name (Legal Business Name): MEDICAL SOLUTIONS ENTERPRISES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2023
Last Update Date: 09/21/2023
Certification Date: 09/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 BROADWAY APT 1D
NEW YORK NY
10034-1620
US

IV. Provider business mailing address

560 HUDSON ST FL 3
HACKENSACK NJ
07601-6655
US

V. Phone/Fax

Practice location:
  • Phone: 646-678-0730
  • Fax: 212-888-6024
Mailing address:
  • Phone: 201-641-2125
  • Fax: 212-888-6024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number
License Number State

VIII. Authorized Official

Name: NORMAN FIELDS
Title or Position: PRESIDENT
Credential:
Phone: 646-678-0730