S. R. Id Group Professional Association
Internal Medicine, Infectious Disease in Paterson, NJ. Organization (NPI-2).
NPI number1306184155
StatusActive
Last updated in NPPESJan 29, 2013
Details
- NPI
- 1306184155
- Entity type
- Organization (NPI-2)
- Legal business name
- S. R. Id Group Professional Association
- Organization subpart
- No
- Enumeration date
- Jan 29, 2013
- Last updated
- Jan 29, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0200X | Internal Medicine, Infectious Disease | 25MA09126400 | NJ | Yes |
Practice location
703 Main StPaterson, NJ 07503-2621
Phone 973-754-2770
Mailing address
11 Godwin PlClifton, NJ 07013-3707
Phone 201-563-5651
Authorized official
Yasmeen Sultana
Owner
2015635651
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