Provider Demographics
NPI:1528684917
Name:ON CALL MEDICAL CARE NJ PC
Entity type:Organization
Organization Name:ON CALL MEDICAL CARE NJ PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DO
Authorized Official - Prefix:
Authorized Official - First Name:SIMON
Authorized Official - Middle Name:
Authorized Official - Last Name:FENSTERSZAUB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-321-0349
Mailing Address - Street 1:6 FILLMORE AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-4131
Mailing Address - Country:US
Mailing Address - Phone:516-615-8586
Mailing Address - Fax:516-615-8586
Practice Address - Street 1:1254 HIGHWAY 27
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-1765
Practice Address - Country:US
Practice Address - Phone:516-615-8586
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-22
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty