# PROMED PREFERRED NJ 2 PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HEALTH ATLAST BOONTON
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942075346
- **Authorized official:** LEV GRINMAN MD (CO-OWNER)
- **Authorized official phone:** (646) 673-1660

## Contact information

- **Practice address:** 125 MADISON ST, BOONTON, NJ 07005-2153
- **Practice address phone:** (844) 776-6332
- **Mailing address:** 4 LEGENDS CIR, MELVILLE, NY 11747-5302

## Taxonomy

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

## Other

- **Enumeration date:** 11/16/2023
- **Last updated:** 08/07/2025