| Medical Care Institute. Pa | |
|
159 Summit Ave Hackensack NJ 07601-1311 | |
| (201) 343-7272 | |
| (201) 343-0228 |
| Full Name | Medical Care Institute. Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 159 Summit Ave, Hackensack, New Jersey |
| Authorized Official Name and Position | Ali Sedarat (OWNER) |
| Authorized Official Contact | 2013437272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Care Institute. Pa 159 Summit Ave Hackensack NJ 07601-1311 Ph: (201) 343-7272 | Medical Care Institute. Pa 159 Summit Ave Hackensack NJ 07601-1311 Ph: (201) 343-7272 |
| NPI Number | 1982758819 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6800794108 |
|---|---|
| Medicare Enrollment ID | O20031223000634 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982758819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | MA047459 (New Jersey) | Primary |
| Provider Name | Ali Sedarat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366409310 PECOS PAC ID: 9537067848 Enrollment ID: I20031223000818 |
| Provider Name | Pavel Odintsov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073893178 PECOS PAC ID: 1557509775 Enrollment ID: I20140128001321 |
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