Ridgewood Primary Care Clinic Professional Corporation in Ridgewood, NJ

Ridgewood Primary Care Clinic Professional Corporation is a medicare enrolled primary clinic (Internal Medicine) in Ridgewood, New Jersey. The current practice location for Ridgewood Primary Care Clinic Professional Corporation is 1250 E Ridgewood Ave Ste 11, Ridgewood, New Jersey. For appointments, you can reach them via phone at (201) 689-1900. The mailing address for Ridgewood Primary Care Clinic Professional Corporation is 1250 E Ridgewood Ave Ste 11, Ridgewood, New Jersey and phone number is (201) 689-1900.

Ridgewood Primary Care Clinic Professional Corporation is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1376365031. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (201) 689-1900.

Contact Information

	Ridgewood Primary Care Clinic Professional Corporation
	1250 E Ridgewood Ave Ste 11 Ridgewood NJ 07450-3930
	(201) 689-1900
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name	Ridgewood Primary Care Clinic Professional Corporation
Speciality	Internal Medicine
Location	1250 E Ridgewood Ave Ste 11, Ridgewood, New Jersey
Authorized Official Name and Position	Ataul H Chowdhury (OWNER)
Authorized Official Contact	6463014812
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ridgewood Primary Care Clinic Professional Corporation 1250 E Ridgewood Ave Ste 11 Ridgewood NJ 07450-3930 Ph: (201) 689-1900	Ridgewood Primary Care Clinic Professional Corporation 1250 E Ridgewood Ave Ste 11 Ridgewood NJ 07450-3930 Ph: (201) 689-1900

NPI Details:

NPI Number	1376365031
Provider Enumeration Date	10/24/2024
Last Update Date	10/24/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	0042733354
Medicare Enrollment ID	O20250327001881

Medical Identifiers

Medical identifiers for Ridgewood Primary Care Clinic Professional Corporation such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376365031	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Ridgewood Primary Care Clinic Professional Corporation acts as a billing entity for following providers:

Provider Name	Ataul Chowdhury
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1043295413 PECOS PAC ID: 0446259758 Enrollment ID: I20250327002032

Reviews and Comments

Internal Medicine in Ridgewood, NJ

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Ridgewood Primary Care Clinic Professional Corporation - Medicare Primary Care in Ridgewood, NJ