J. G. Moreno, Md, Llc

LBN: J. G. Moreno, Md, Llc
J. G. Moreno, Md, Llc is an health care organization with primary practice located at 205 Ridgedale Ave , Florham Park NJ 07932-1349. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. J. G. Moreno, Md, Llc can be contacted via phone (973) 966-0072, or through Moreno, Jose G via phone (973) 966-0072.

Contact Information

Primary practice address
205 Ridgedale Ave Florham Park NJ 07932-1349
Phone: (973) 966-0072
Fax: (908) 879-5009
Website:
Map and Directions
Authorized official contact:
Name: Moreno, Jose G Doctor of Medicine (MD)
Phone: (973) 966-0072

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 25MA03554300 New Jersey

Profile Details

NPI number 1366771735
LBN Legal business name J. G. Moreno, Md, Llc
DBA Doing business as
Authorized official Moreno, Jose G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2009
Last updated Dec 15th, 2009 - about 17 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 1366771735 NPPES
New Jersey Other 461207 MEDICARE PTAN
New Jersey MEDICAID 3449807 MEDICARE PTAN

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