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

North Haledon Medical, PC

Organization Specialist · NPI 1477624088

North Haledon Medical, PC provides Specialist services in Wayne, 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?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

510 Hamburg Tpke Wayne Commons Ste 101
Wayne, NJ 07470-2025 Not confirmed with CMS for 13 years — call before visiting
Phone: (973) 942-6005
Fax: (973) 942-6009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 25MB06978600 (NJ)

Record details

NPI number1477624088
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Barravecchio — Delegated Official · (973) 942-6005
NPI enumeratedNovember 13, 2006
Last updated in NPPESApril 4, 2013
Mailing address510 Hamburg Tpke, Wayne Commons, Suite 101, Wayne, NJ 07470-2025

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