# MECCA INTEGRATED MEDICAL CENTER, LLC

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

## Provider details

- **NPI number:** 1427296698
- **Authorized official:** MICHAEL SAPIENZA DC (PRESIDENT)
- **Authorized official phone:** (201) 247-5499

## Contact information

- **Practice address:** 333 A RT 46 WEST, FAIRFIELD, NJ 07004
- **Practice address phone:** (973) 493-4300
- **Practice address fax:** (973) 933-0903
- **Mailing address:** 333 A RT 46 WEST, ST 135, FAIRFIELD, NJ 07004
- **Mailing address phone:** (973) 493-4300
- **Mailing address fax:** (973) 227-3335

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 01/27/2009
- **Last updated:** 09/05/2024
