=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497738801
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ALI INANC SECKIN MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/21/2005
-----------------------------------------------------
Last Update Date | 03/12/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 470 N. FRANKLIN TPK, STE 107
-----------------------------------------------------
City | RAMSEY
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07446
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-809-3000
-----------------------------------------------------
Fax | 201-809-3300
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 470 N. FRANKLIN TPK, STE 107
-----------------------------------------------------
City | RAMSEY
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07446
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-809-3000
-----------------------------------------------------
Fax | 201-809-3300
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207LP2900X
-----------------------------------------------------
Taxonomy Name | Pain Medicine (Anesthesiology) Physician
-----------------------------------------------------
License Number | 25MA07745200
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207L00000X
-----------------------------------------------------
Taxonomy Name | Anesthesiology Physician
-----------------------------------------------------
License Number | 25MA07745200
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------