Provider Demographics
NPI:1962809798
Name:RHEUMATOLOGY ASSOCIATES OF NORTH JERSEY
Entity type:Organization
Organization Name:RHEUMATOLOGY ASSOCIATES OF NORTH JERSEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTER
Authorized Official - Prefix:DR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:E
Authorized Official - Last Name:MARCUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-837-7788
Mailing Address - Street 1:38 ARIEL ST
Mailing Address - Street 2:POB 429
Mailing Address - City:NOF AYALON
Mailing Address - State:DN SHIMSHON
Mailing Address - Zip Code:99785
Mailing Address - Country:IL
Mailing Address - Phone:201-379-9230
Mailing Address - Fax:201-603-6530
Practice Address - Street 1:1415 QUEEN ANNE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-3521
Practice Address - Country:US
Practice Address - Phone:201-837-7788
Practice Address - Fax:201-837-2077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-21
Last Update Date:2014-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN10980100261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care