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

South Orange Village Medical Group, LLC

Organization Internal Medicine Physician · NPI 1164716544

South Orange Village Medical Group, LLC is an Internal Medicine Physician in South Orange, 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

483 S Orange Ave
South Orange, NJ 07079-2642
Phone: (973) 638-1634
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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

Record details

NPI number1164716544
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amgad Hessein — Owner · (973) 638-1634
NPI enumeratedJune 3, 2011
Last updated in NPPESJune 3, 2011
Mailing address483 S Orange Ave, South Orange, NJ 07079-2642

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