Active NPI
Imedical Associates, LLC
- Internal Medicine Physician
- Fair Lawn, NJ
National Provider Identifier
1023350238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA03137700
- Legal business name
- IMEDICAL ASSOCIATES, LLC
- Practice address
- 15-01 Broadway
Suite 32
Fair Lawn, NJ 07410-6003 - Phone
- (201) 791-6434
- Fax
- (201) 791-6446
- NPI assigned
- Mar 26, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark Leonard Lehrman, M.D.
- Title
- Physician
- Phone
- (201) 791-6434
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA03137700 | NJ | Primary |
Addresses
Primary practice location
15-01 Broadway
Suite 32
Fair Lawn, NJ 07410-6003
Mailing address
15-01 Broadway
Suite 32
Fair Lawn, NJ 07410-6003
Phone (201) 791-6434
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Fair Lawn, NJ
- NPI 1306809090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364256000000",
"number": "1023350238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15-01 BROADWAY",
"address_2": "SUITE 32",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074106003",
"telephone_number": "201-791-6434",
"fax_number": "201-791-6446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15-01 BROADWAY",
"address_2": "SUITE 32",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074106003",
"telephone_number": "201-791-6434",
"fax_number": "201-791-6446"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMEDICAL ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-26",
"last_updated": "2013-03-26",
"status": "A",
"authorized_official_last_name": "LEHRMAN",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "LEONARD",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "201-791-6434",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA03137700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fair Lawn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.