Dr. Reginald O. Coleman M.D. Pa

LBN: Dr. Reginald O. Coleman M.D. Pa
Dr. Reginald O. Coleman M.D. Pa is an health care organization with primary practice located at 2728 Kennedy Blvd 1St Floor, Jersey City NJ 07306. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Dr. Reginald O. Coleman M.D. Pa can be contacted via phone (201) 433-7817, or through Coleman, Reginald Oliver via phone (201) 433-7817.

Contact Information

Primary practice address
2728 Kennedy Blvd 1St Floor Jersey City NJ 07306
Phone: (201) 433-7817
Fax: (201) 433-6044
Website:
Map and Directions
Authorized official contact:
Name: Coleman, Reginald Oliver Doctor of Medicine (MD)
Phone: (201) 433-7817

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA03415800 New Jersey

Profile Details

NPI number 1447584685
LBN Legal business name Dr. Reginald O. Coleman M.D. Pa
DBA Doing business as
Authorized official Coleman, Reginald Oliver Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2009
Last updated Sep 21st, 2009 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447584685 NPPES
New Jersey MEDICAID 1283405

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