# COMPREHENSIVE MEDICAL CENTER LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1689071722
- **Authorized official:** SONYA GOODRICH (BILLER)
- **Authorized official phone:** (973) 374-1080

## Contact information

- **Practice address:** 1200 CLINTON AVE, SUITE 140, IRVINGTON, NJ 07111-2070
- **Practice address phone:** (973) 374-1080
- **Practice address fax:** (973) 373-1726
- **Mailing address:** 1200 CLINTON AVE, SUITE 140, IRVINGTON, NJ 07111-2070
- **Mailing address phone:** (973) 374-1080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 26NN09682500 | NJ | Yes |

## Other

- **Enumeration date:** 12/03/2014
- **Last updated:** 03/23/2016