Nj Med, Pa

LBN: Nj Med, Pa
Nj Med, Pa is an health care organization with primary practice located at 240 Williamson St Suite 204, Elizabeth NJ 07202. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Nj Med, Pa can be contacted via phone (908) 355-8877, or through Shaughnessy, Vivian via phone (908) 355-8877.

Contact Information

Primary practice address
240 Williamson St Suite 204 Elizabeth NJ 07202
Phone: (908) 355-8877
Fax: (908) 355-0017
Website:
Map and Directions
Authorized official contact:
Name: Shaughnessy, Vivian
Phone: (908) 355-8877

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X

Profile Details

NPI number 1548343973
LBN Legal business name Nj Med, Pa
DBA Doing business as
Authorized official Shaughnessy, Vivian
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2006
Last updated Sep 11th, 2014 - about 12 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 1548343973 NPPES
New Jersey MEDICAID 2885305

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