| Clifton Comprehensive Medical Center | |
|
960 Paulison Ave Clifton NJ 07011-3607 | |
| (973) 773-7713 | |
| (973) 773-7723 |
| Full Name | Clifton Comprehensive Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 960 Paulison Ave, Clifton, New Jersey |
| Authorized Official Name and Position | Sandra Ugras Rey (CO-PRESIDENT) |
| Authorized Official Contact | 9737737713 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clifton Comprehensive Medical Center 960 Paulison Ave Clifton NJ 07011-3607 Ph: (973) 773-7713 | Clifton Comprehensive Medical Center 960 Paulison Ave Clifton NJ 07011-3607 Ph: (973) 773-7713 |
| NPI Number | 1407090848 |
|---|---|
| Provider Enumeration Date | 04/29/2009 |
| Last Update Date | 05/06/2014 |
| Medicare PECOS PAC ID | 3577606839 |
|---|---|
| Medicare Enrollment ID | O20100209000134 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407090848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 25MA08429300 (New Jersey) | Primary |
| Provider Name | Sandra S Ugras Rey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992758932 PECOS PAC ID: 5092726455 Enrollment ID: I20080401000152 |
| Provider Name | Ricardo Rey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417049131 PECOS PAC ID: 9133144553 Enrollment ID: I20100209000174 |
| Provider Name | Roxana Amaya-santana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336732718 PECOS PAC ID: 1850700758 Enrollment ID: I20210505002167 |
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