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

Prospect Medical Office, LLC

Organization Internal Medicine Physician · NPI 1609956556

Prospect Medical Office, LLC is an Internal Medicine Physician in Midland Park, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
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

301 Godwin Ave
Midland Park, NJ 07432-1544
Phone: (201) 444-4526
Fax: (201) 689-0638
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X (NJ)

Record details

NPI number1609956556
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Terek — Practice Administrator · (201) 444-4530
NPI enumeratedOctober 16, 2006
Last updated in NPPESDecember 7, 2012
Mailing address301 Godwin Ave, Midland Park, NJ 07432-1544

Other providers in Midland Park