=====================================================
General NPI Number Information
=====================================================
NPI Number | 1952771727
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BEST ASSIST, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/05/2015
-----------------------------------------------------
Last Update Date | 10/05/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 220 HAMBURG TPKE SUITE 21
-----------------------------------------------------
City | WAYNE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07470-2110
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-321-1686
-----------------------------------------------------
Fax | 973-365-4701
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 220 HAMBURG TPKE SUITE 21
-----------------------------------------------------
City | WAYNE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07470-2110
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-321-1686
-----------------------------------------------------
Fax | 973-365-4701
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. MAHIPA H PALLIMULLA
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 973-321-1686
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number | 25MA07089000
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------