Organization Active NPI

Medconsults LLC

  • Internal Medicine Physician
  • Ridgewood, NJ
National Provider Identifier
1801021027
Registry record updated Jul 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07654700 Issued in NJ
Legal business name
MEDCONSULTS LLC
Practice address
61 N Maple Ave
Ridgewood, NJ 07450-3255
Phone
(201) 445-7070
Fax
(201) 612-8454
NPI assigned
May 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2009

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

Authorized official

Name
Ladan H Bahrampour, M.DNPI 1003877622
Title
MD/Owner
Phone
(973) 826-8291

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 25MA07654700 NJ Primary

Addresses

Primary practice location

61 N Maple Ave
Ridgewood, NJ 07450-3255

Mailing address

PO Box 4737
Wayne, NJ 07474-4737
Phone (973) 826-8291

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.

NPI Registry JSON

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1801021027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4737",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074744737",
            "telephone_number": "973-826-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 N MAPLE AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503255",
            "telephone_number": "201-445-7070",
            "fax_number": "201-612-8454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCONSULTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "BAHRAMPOUR",
        "authorized_official_first_name": "LADAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "973-826-8291",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07654700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.