Agave Medical Nj Pc

LBN: Agave Medical Nj Pc
Agave Medical Nj Pc is an health care organization with primary practice located at 359 5Th St Unit 3 , Jersey City NJ 07302-2329. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Ambulatory Health Care Facilities / Adult Mental Health. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Agave Medical Nj Pc can be contacted via phone (929) 209-6109, or through Fruhauf, Ori via phone (551) 302-1794.

Contact Information

Primary practice address
359 5Th St Unit 3 Jersey City NJ 07302-2329
Phone: (929) 209-6109
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fruhauf, Ori
Phone: (551) 302-1794

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1619859238
LBN Legal business name Agave Medical Nj Pc
DBA Doing business as
Authorized official Fruhauf, Ori
Entity Organization
Organization subpart 1 No
Enumeration date Jul 24th, 2025
Last updated Jul 24th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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