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General NPI Number Information
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NPI Number | 1235006644
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Entity Type | Organization
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Legal Business Name | PERIPHERAL NERVE SURGERY PC
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Dates
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Enumeration Date | 10/21/2025
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 570 SYLVAN AVE FL 2
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City | ENGLEWOOD CLIFFS
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State | NJ
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Zip | 07632-3132
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Country | US
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Telephone | 212-540-4263
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Fax |
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Provider Business Mailing Address
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Address Line | 377 VALLEY RD STE 82698
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City | CLIFTON
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State | NJ
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Zip | 07013-1319
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | OREN MICHAELI
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Credential | DO
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Telephone | 917-993-3353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number |
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License Number State |
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