Pathmark Stores Inc

Specialty details in registry · Kinnelon, NJ

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At a glance

25 Kinnelon Rd, Kinnelon, NJ 07405-2337

NPPES record updated Mar 20, 2009. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
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Insurance participation and appointment availability are not established by these public records.

Practice location

25 Kinnelon Rd
Kinnelon, NJ 07405-2337
Professional details: NPI, taxonomy & registry record
NPI1003913864
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
333600000X
Enumeration date
Sep 20, 2006
Record updated
Mar 20, 2009
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

332B00000X

License reported: RS2800325300 NJ

Specialty details in registry

333600000X · Primary

License reported: RS002015 NJ

Specialty details in registry

3336C0003X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

25 Kinnelon Rd
Kinnelon, NJ 07405-2337
Phone
(973) 838-6699
Fax
(973) 838-1236
Mailing address
2 PARAGON DR

MONTVALE, NJ 076451718
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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