<Unavail>

LBN: Prudential Healthcare
<Unavail> is an health care organization with primary practice located at 161 Palisade Ave , Jersey City NJ 07306-1146. The organization recently has 6 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Managed Care Organization Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Prudential Healthcare can be contacted via phone (201) 653-3154, or through Barbaria, Daya via phone (201) 653-3154.

Contact Information

Primary practice address
161 Palisade Ave Jersey City NJ 07306-1146
Phone: (201) 653-3154
Fax: (201) 653-7576
Website:
Map and Directions
Authorized official contact:
Name: Barbaria, Daya
Phone: (201) 653-3154

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 28RS00707500 New Jersey
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Managed Care Organization Pharmacy 3336M0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1700047719
LBN Legal business name Prudential Healthcare
DBA Doing business as <Unavail>
Authorized official Barbaria, Daya
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2008
Last updated Apr 23rd, 2015 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1700047719 NPPES
Other 2134634 PK

Popular Providers