Provider Demographics
NPI:1194416222
Name:NEW HEIGHTS MEDICAL GROUP, LLC
Entity type:Organization
Organization Name:NEW HEIGHTS MEDICAL GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:KARYNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:NEYRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-771-3643
Mailing Address - Street 1:91-93 RTE 23, POMPTON AVE
Mailing Address - Street 2:#1038
Mailing Address - City:CEDAR GROVE
Mailing Address - State:NJ
Mailing Address - Zip Code:07009
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:602 BLOOMFIELD AVE
Practice Address - Street 2:
Practice Address - City:WEST CALDWELL
Practice Address - State:NJ
Practice Address - Zip Code:07006-7503
Practice Address - Country:US
Practice Address - Phone:973-771-3643
Practice Address - Fax:973-771-3842
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-18
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty