<Unavail>
LBN: Bmg East Orange Llc
<Unavail> is an health care organization with primary practice located at 200 Freeway Dr E Ste 305 , East Orange NJ 07018. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Urgent Care is the primary health care specialty.
Bmg East Orange Llc can be contacted via phone (973) 370-4000, or through Jacobs, Blimy via phone (845) 662-2404.
Contact Information
Primary practice address
200 Freeway Dr E Ste 305
East Orange NJ 07018
Phone: (973) 370-4000
Fax: (973) 370-4040
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA08818300 | New Jersey |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 25MA08818300 | New Jersey |
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X |
Profile Details
| NPI number | 1659882082 |
|---|---|
| LBN Legal business name | Bmg East Orange Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Jacobs, Blimy CREDENTIAL |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 12th, 2017 |
| Last updated | Dec 30th, 2021 - about 5 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659882082 | NPPES |
| New Jersey | MEDICAID | 0630390 |
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