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

Integra Medical Group LLC

Organization Internal Medicine Physician · NPI 1720361884

Integra Medical Group LLC is an Internal Medicine Physician in Ridgewood, New Jersey. Licensed in New Jersey. Registered with an NPI since 2011.

Licensed in
NJ
In the registry since
2011
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

1124 E Ridgewood Ave Ste 103
Ridgewood, NJ 07450-3915
Phone: (201) 447-7348
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 25MA07654700 (NJ)

Record details

NPI number1720361884
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ladan Bahrampour — Md · (201) 447-7348
NPI enumeratedSeptember 26, 2011
Last updated in NPPESNovember 3, 2014
Mailing addressPo Box 741, Franklin Lakes, NJ 07417-0741

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