Organization Active NPI

North Star Complete Service

  • Clinical & Laboratory Immunology (Internal Medicine) Physician
  • Woodland Park, NJ
National Provider Identifier
1437810769
Registry record updated Jan 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical & Laboratory Immunology (Internal Medicine) PhysicianTaxonomy code 207RI0001X
Legal business name
NORTH STAR COMPLETE SERVICE
Practice address
32 Winding Way
Woodland Park, NJ 07424-2669
Phone
(507) 779-5486
NPI assigned
Jan 8, 2022
Last updated
Jan 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2022

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

Authorized official

Name
Saad Wraiz
Title
Member
Phone
(507) 779-5486

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical & Laboratory Immunology (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0001X Primary

Addresses

Primary practice location

32 Winding Way
Woodland Park, NJ 07424-2669

Mailing address

32 Winding Way
Woodland Park, NJ 07424-2669

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1641600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641600000000",
    "number": "1437810769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 WINDING WAY",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074242669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 WINDING WAY",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074242669",
            "telephone_number": "507-779-5486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR COMPLETE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-08",
        "last_updated": "2022-01-08",
        "certification_date": "2022-01-08",
        "status": "A",
        "authorized_official_last_name": "WRAIZ",
        "authorized_official_first_name": "SAAD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "507-779-5486"
    },
    "taxonomies": [
        {
            "code": "207RI0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical & Laboratory Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2022; 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.