M D Health Care LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

M D HEALTH CARE LLC

Practice address

110 Passaic Ave
Passaic, NJ 07055-4827

Phone

(973) 471-9585

NPI assigned

Apr 6, 2009

Organization subpart

No

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

Authorized official

Name

Peyman Maghsoudlou

Title

Manager

Phone

(973) 773-2039

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239148800000",
    "number": "1326280330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PASSAIC AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PASSAIC AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554827",
            "telephone_number": "973-471-9585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M D HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-04-08",
        "status": "A",
        "authorized_official_last_name": "MAGHSOUDLOU",
        "authorized_official_first_name": "PEYMAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "973-773-2039"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Passaic, NJ
• Providers in Passaic, NJ by specialty
• Obstetrics & Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; 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.