PRIMARY CARE MEDICAL GROUP PA – NPI #1134386410
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

PRIMARY CARE MEDICAL GROUP PA is a provider located in HARRISON, NJ. NPPES has assigned the NPI number 1134386410 to PRIMARY CARE MEDICAL GROUP PA on May 22, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is MEDICAL SURGICAL ASSOCIATES. The primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 18 years ago on Jun 04, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PRIMARY CARE MEDICAL GROUP PA below.

NPI Profile for
PRIMARY CARE MEDICAL GROUP PA

NPI Number
1134386410
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRIMARY CARE MEDICAL GROUP PA
Former Legal Business Name: MEDICAL SURGICAL ASSOCIATES
Primary location
450 BERGEN ST
HARRISON, NJ 07029-2291
Phone: (973) 484-6900 Fax: (973) 484-0029
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RALPH D'AGOSTINO
OWNER
Phone: (973) 484-6900
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)
NJ 31348

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.