MEDICARE: RESPIRATORY HEALTH AND CRITICAL CARE ASSOCIATES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871557843
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESPIRATORY HEALTH AND CRITICAL CARE ASSOCIATES, LLC

Provider Business Mailing Address
First Line	:	44 GODWIN AVE
Second Line	:	SUITE 201
City	:	MIDLAND PARK
State	:	NJ
Zip	:	07432-1669
Country	:	US
Telephone Number	:	201-689-7755
Fax Number	:	201-689-0521

Provider Business Practice Location Address
First Line	:	297 LAFAYETTE AVE
Second Line	:
City	:	HAWTHORNE
State	:	NJ
Zip	:	07506-1919
Country	:	US
Telephone Number	:	973-790-4111
Fax Number	:	973-790-4330

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	JOSEPH N GRIZZANTI
Credential	:	DO
Telephone Number	:	973-790-4111

Provider Enumeration Date	:	04/14/2006
Last Update Date	:	08/22/2020

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