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

Medical Centers of Northern New Jersey, LLC

Organization General Practice Physician · NPI 1083910616

Medical Centers of Northern New Jersey, LLC is a General Practice Physician in Ridgewood, New Jersey. Registered with an NPI since 2011.

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

195 S Maple Ave
Ridgewood, NJ 07450-5142
Phone: (973) 953-8105
Fax: (770) 643-2011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1083910616
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dana Piccirillo — Ceo · (678) 849-3782
NPI enumeratedJanuary 29, 2011
Last updated in NPPESJanuary 29, 2011
Mailing address195 S Maple Ave, Ridgewood, NJ 07450-5142

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