Jersey Innovative Services Llc

LBN: Jersey Innovative Services Llc
Jersey Innovative Services Llc is an health care organization with primary practice located at 2360 Lakewood Rd Suite 3 #256, Toms River NJ 08755-1929. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Jersey Innovative Services Llc can be contacted via phone (732) 614-6145, or through Hollander, Erika via phone (732) 614-6145.

Contact Information

Primary practice address
2360 Lakewood Rd Suite 3 #256 Toms River NJ 08755-1929
Phone: (732) 614-6145
Fax: (732) 612-1162
Website:
Map and Directions
Authorized official contact:
Name: Hollander, Erika
Phone: (732) 614-6145

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X XXX New Jersey

Profile Details

NPI number 1043757990
LBN Legal business name Jersey Innovative Services Llc
DBA Doing business as
Authorized official Hollander, Erika
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2017
Last updated Feb 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 1043757990 NPPES
New Jersey MEDICAID 0169994

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