Mill Gardens At Midland Park

LBN: Mill Gardens At Midland Park
Mill Gardens At Midland Park is an health care organization with primary practice located at 36 Faner Rd , Midland Park NJ 07432-1719. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Mill Gardens At Midland Park can be contacted via phone (201) 493-7400, or through Drivanos, Nicholas via phone (201) 493-7400.

Contact Information

Primary practice address
36 Faner Rd Midland Park NJ 07432-1719
Phone: (201) 493-7400
Fax: (201) 493-7374
Website:
Map and Directions
Authorized official contact:
Name: Drivanos, Nicholas C.A.L.A.
Phone: (201) 493-7400

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X LRR782 New Jersey

Profile Details

NPI number 1942415617
LBN Legal business name Mill Gardens At Midland Park
DBA Doing business as
Authorized official Drivanos, Nicholas C.A.L.A.
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2007
Last updated Nov 25th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942415617 NPPES
New Jersey MEDICAID 8822000

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