# HARLEY STREET MEDICAL NEW JERSEY PC

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

## Provider details

- **NPI number:** 1497627087
- **Authorized official:** MR. DANNY BALL (CEO)
- **Authorized official phone:** (212) 496-1929

## Contact information

- **Practice address:** 619 N MAPLE AVE STE 100, HO HO KUS, NJ 07423-1683
- **Practice address phone:** (551) 284-3844
- **Mailing address:** 619 N MAPLE AVE STE 100, HO HO KUS, NJ 07423-1683

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/22/2025
- **Last updated:** 09/22/2025