Elite Nu Diamond, Inc.

LBN: Elite Nu Diamond, Inc.
Elite Nu Diamond, Inc. is an health care organization with primary practice located at 15 Brinkerhoff St , Jersey City NJ 07304-2922. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Elite Nu Diamond, Inc. can be contacted via phone (201) 654-4530, or through Robinson, Ayeisha C via phone (908) 456-6687.

Contact Information

Primary practice address
15 Brinkerhoff St Jersey City NJ 07304-2922
Phone: (201) 654-4530
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Robinson, Ayeisha C Master of Arts (MA)
Phone: (908) 456-6687

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1063939908
LBN Legal business name Elite Nu Diamond, Inc.
DBA Doing business as
Authorized official Robinson, Ayeisha C Master of Arts (MA)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2017
Last updated Aug 22nd, 2017 - about 9 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 1063939908 NPPES
New Jersey MEDICAID 00000000000000000000

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