Irvington Emergent Care

LBN: Irvington Emergent Care
Irvington Emergent Care is an health care organization with primary practice located at 12 Krotik Pl , Irvington NJ 07111-1708. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Irvington Emergent Care can be contacted via phone (973) 373-3000, or through Willis, Rudolph via phone (973) 373-3000.

Contact Information

Primary practice address
12 Krotik Pl Irvington NJ 07111-1708
Phone: (973) 373-3000
Fax: (973) 399-8880
Website:
Map and Directions
Authorized official contact:
Name: Willis, Rudolph Doctor of Medicine (MD)
Phone: (973) 373-3000

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA042750NJ New Jersey

Profile Details

NPI number 1578808952
LBN Legal business name Irvington Emergent Care
DBA Doing business as
Authorized official Willis, Rudolph Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2012
Last updated Dec 11th, 2012 - about 14 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 1578808952 NPPES
New Jersey MEDICAID 0887307

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