Organization Active NPI

Ridgefield Park Medical Services P C

  • Internal Medicine Physician
  • Ridgefield Park, NJ
National Provider Identifier
1588897367
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA66409 Issued in NJ
Legal business name
RIDGEFIELD PARK MEDICAL SERVICES P C
Practice address
92 Euclid Ave
Ridgefield Park, NJ 07660-1912
Phone
(201) 641-2884
Fax
(201) 641-8246
NPI assigned
Aug 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

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

Authorized official

Name
Dr. Mohamed Rafeeuddin, MD
Title
Owner
Phone
(201) 641-2884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 25MA66409 NJ Primary

Addresses

Primary practice location

92 Euclid Ave
Ridgefield Park, NJ 07660-1912

Mailing address

92 Euclid Ave
Ridgefield Park, NJ 07660-1912
Phone (201) 641-2884

National Provider Directory

National Provider Directory

Locations

92 Euclid Ave
Ridgefield Pk, NJ 07660
Phone (201) 641-2884

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1588897367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 EUCLID AVE",
            "city": "RIDGEFIELD PARK",
            "state": "NJ",
            "postal_code": "076601912",
            "telephone_number": "201-641-2884",
            "fax_number": "201-641-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 EUCLID AVE",
            "city": "RIDGEFIELD PARK",
            "state": "NJ",
            "postal_code": "076601912",
            "telephone_number": "201-641-2884",
            "fax_number": "201-641-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEFIELD PARK MEDICAL SERVICES P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "RAFEEUDDIN",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-641-2884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA66409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.