Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hawthorne Integrated Medicine, LLC

Organization Family Medicine Physician · NPI 1730505074

Hawthorne Integrated Medicine, LLC is a Family Medicine Physician in Hawthorne, New Jersey. Licensed in New Jersey. Registered with an NPI since 2014.

Licensed in
NJ
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

219 Lafayette Ave
Hawthorne, NJ 07506-1904
Phone: (973) 423-9100
Fax: (973) 423-1339
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25MB08249300 (NJ)

Record details

NPI number1730505074
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Gregg — President/Owner · (973) 423-9100
NPI enumeratedMarch 11, 2014
Last updated in NPPESMarch 11, 2014
Mailing address219 Lafayette Ave, Hawthorne, NJ 07506-1904

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