Passaic County Elks Cerebral Palsy Center

LBN: Passaic County Elks Cerebral Palsy Center
Passaic County Elks Cerebral Palsy Center is an health care organization with primary practice located at 1481 Main Ave , Clifton NJ 07011-2127. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Day Care, which is considered as the primary health care specialty. Passaic County Elks Cerebral Palsy Center can be contacted via phone (973) 772-2600, or through Weiss, William G via phone (973) 772-2600.

Contact Information

Primary practice address
1481 Main Ave Clifton NJ 07011-2127
Fax: (973) 772-5171
Website:
Authorized official contact:
Name: Weiss, William G ED.D.

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X 081670 New Jersey

Profile Details

NPI number 1518250604
LBN Legal business name Passaic County Elks Cerebral Palsy Center
DBA Doing business as
Authorized official Weiss, William G ED.D.
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2011
Last updated May 23rd, 2011 - about 15 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 1518250604 NPPES
New Jersey MEDICAID 3752704-01

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