# VALLEY HEALTH MEDICAL GROUP, NJ-PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Valley Health Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447227368
- **Authorized official:** MR. RICHARD KEENAN (VP FINANCE/CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (201) 291-6188

## Contact information

- **Practice address:** 40 WASHINGTON AVE, DUMONT, NJ 07628-3697
- **Practice address phone:** (201) 387-7055
- **Practice address fax:** (201) 387-8605
- **Mailing address:** 15 ESSEX RD, 5TH FLOOR, PARAMUS, NJ 07652-1451
- **Mailing address phone:** (201) 291-6120
- **Mailing address fax:** (201) 291-6129

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RG0100X | Gastroenterology Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/01/2006
- **Last updated:** 09/11/2025