Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Medical Centers of Northern New Jersey, LLC

Organization General Practice Physician · NPI 1083910616

Medical Centers of Northern New Jersey, LLC provides General Practice Physician services 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 Not confirmed with CMS for 15 years — call before visiting
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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