Graduated: 2024
NPI: 1093522823
Practice Locations (2)
MEDASSIST NJ II
419 E COUNTY LINE RD
LAKEWOOD, NJ 087011426
8453776670
BERGEN COUNTY IMPROVEMENT AUTHORITY
230 E RIDGEWOOD AVE
PARAMUS, NJ 076524142
2019674000
Source: CMS National Downloadable File, September 2026.