Affinity Healthcare Group Ridgefield LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

AFFINITY HEALTHCARE GROUP RIDGEFIELD LLC

Doing business as

Affinity Healthcare Group

Practice address

195 US Highway 46
Suite 4
Totowa, NJ 07512-1824

Phone

(973) 650-2009

Fax

(253) 650-2009

NPI assigned

Jul 24, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Magdy Mahmoud

Title

Owner

Phone

(973) 650-2009

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Affinity Healthcare Group Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1184009748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 US HIGHWAY 46",
            "address_2": "SUITE 4",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075121824",
            "telephone_number": "973-650-2009",
            "fax_number": "253-650-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 US HIGHWAY 46",
            "address_2": "SUITE 4",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075121824",
            "telephone_number": "973-650-2009",
            "fax_number": "253-650-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY HEALTHCARE GROUP RIDGEFIELD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-24",
        "last_updated": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "MAHMOUD",
        "authorized_official_first_name": "MAGDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-650-2009"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8234400",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affinity Healthcare Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.