Medical Multispecialty Association PA
NPI 1891905873ActiveOrganization· Internal Medicine· Fair Lawn, NJ
Internal Medicine in Fair Lawn, New Jersey, registered in NPPES in May 2007. The authorized official on file is Brad Herman, M.D., Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1891905873 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 22, 2007 |
| Last updated in NPPES | Feb 12, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | — | — |
| Internal Medicine, Gastroenterology | 207RG0100X | — | — |
| Internal Medicine, Rheumatology | 207RR0500X | — | — |
| Podiatrist | 213E00000X | 25MD00298000 | NJ |
| Physician Assistant | 363A00000X | 25MP001995 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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