Provider Demographics
NPI:1053949412
Name:MEDICAL ASSOCIATES OF ENGLEWOOD, PC
Entity type:Organization
Organization Name:MEDICAL ASSOCIATES OF ENGLEWOOD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:LASNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-608-2136
Mailing Address - Street 1:375 ENGLE ST FL 2
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-1823
Mailing Address - Country:US
Mailing Address - Phone:201-894-3012
Mailing Address - Fax:
Practice Address - Street 1:46 UNION AVE
Practice Address - Street 2:
Practice Address - City:CRESSKILL
Practice Address - State:NJ
Practice Address - Zip Code:07626-2125
Practice Address - Country:US
Practice Address - Phone:201-205-2172
Practice Address - Fax:201-339-7697
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ENGLEWOOD HEALTH PHYSICIAN NETWORK
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-03-31
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty