Mountainside Family Practice Associates - Merit

LBN: Mountainside Family Practice Associates - Merit
Mountainside Family Practice Associates - Merit is an health care organization with primary practice located at 799 Bloomfield Avenue Suite 201, Verona NJ 07044-0000. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Mountainside Family Practice Associates - Merit can be contacted via phone (973) 746-7050, or through Dykes, Barry via phone (973) 429-6000.

Contact Information

Primary practice address
799 Bloomfield Avenue Suite 201 Verona NJ 07044-0000
Phone: (973) 746-7050
Fax: (973) 857-2831
Website:
Map and Directions
Authorized official contact:
Name: Dykes, Barry MR.
Phone: (973) 429-6000

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1528199890
LBN Legal business name Mountainside Family Practice Associates - Merit
DBA Doing business as
Authorized official Dykes, Barry MR.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2007
Last updated Nov 21st, 2007 - about 19 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 1528199890 NPPES
New Jersey MEDICAID 4138708

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