Pemberton M.D P.C

LBN: Pemberton M.D P.C
Pemberton M.D P.C is an health care organization with primary practice located at 500 Orange St , Newark NJ 07107-2944. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Pemberton M.D P.C can be contacted via phone (973) 844-3188, or through Pemberton, Colin A via phone (973) 844-3188.

Contact Information

Primary practice address
500 Orange St Newark NJ 07107-2944
Phone: (973) 844-3188
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pemberton, Colin A Doctor of Medicine (MD)
Phone: (973) 844-3188

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1437686219
LBN Legal business name Pemberton M.D P.C
DBA Doing business as
Authorized official Pemberton, Colin A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2017
Last updated May 11th, 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 1437686219 NPPES
New Jersey MEDICAID 0198323

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