# MEDICAL CENTERS OF NORTHERN NEW JERSEY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083910616
- **Authorized official:** MR. DANA PICCIRILLO DC (CEO)
- **Authorized official phone:** (678) 849-3782

## Contact information

- **Practice address:** 195 S MAPLE AVE, RIDGEWOOD, NJ 07450-5142
- **Practice address phone:** (973) 953-8105
- **Practice address fax:** (770) 643-2011
- **Mailing address:** 195 S MAPLE AVE, RIDGEWOOD, NJ 07450-5142
- **Mailing address phone:** (973) 953-8105
- **Mailing address fax:** (770) 643-2011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/29/2011
- **Last updated:** 01/29/2011