Active NPIOrganization

Elizabeth Bayway Medical Center, LLC

Emergency Medicine in Elizabeth, New Jersey

NPI Number1083960249
Practice location
636 Bayway Ave, Elizabeth, NJ 07202-2613
Fax
908-994-0900
Last updated
August 31, 2012

Elizabeth Bayway Medical Center, LLC is a healthcare organization based in Elizabeth, NJ. Elizabeth Bayway Medical Center, LLC practices in Elizabeth, NJ. The NPI Number for Elizabeth Bayway Medical Center, LLC is 1083960249 and holds a License No. 25MA079138 (NJ). The current practice location address for Elizabeth Bayway Medical Center, LLC is 636 Bayway Ave, Elizabeth, NJ 07202-2613 and can be reached out via phone at 908-994-1900 and via fax at 908-994-0900.

Provider Profile Details

NPI Number
1083960249
Provider Name
Elizabeth Bayway Medical Center, LLC
Provider Entity Type
Organization
Address
636 Bayway Ave, Elizabeth, NJ 07202-2613
Phone Number
908-994-1900
Fax Number
908-994-0900
Primary Taxonomy
Emergency Medicine · 207P00000X
Organization Subpart
No
Authorized Official
Dr. Keyur Ajbani, MD · Owner · 908-994-1900
Provider Enumeration Date
July 25, 2012
Last Update Date
August 31, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
636 Bayway Ave
Elizabeth, NJ 07202-2613
Zip
07202-2613
Phone Number
908-994-1900
Fax Number
908-994-0900
Elizabeth, NJ 07202Get directions →

Provider Business Mailing Address Details

Address
636 Bayway Ave
Elizabeth, NJ 07202-2613
City
Elizabeth
State
NJ
Zip
07202-2613
Phone Number
908-994-1900
Fax Number
908-994-0900

License Information

Taxonomy (1)
Family Medicine · 207Q00000X
Taxonomy (2)
General Practice · 208D00000X
License Number (3)
25MA079138
License State (3)
NJ
Taxonomy (3)
Emergency Medicine · 207P00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Elizabeth Bayway Medical Center, LLC?

The NPI number of Elizabeth Bayway Medical Center, LLC is 1083960249. It was assigned on July 25, 2012 and is currently active in the NPPES registry.

What is the specialty of Elizabeth Bayway Medical Center, LLC?

Elizabeth Bayway Medical Center, LLC is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in NJ under license number 25MA079138.

Where does Elizabeth Bayway Medical Center, LLC practice?

The practice location is 636 Bayway Ave, Elizabeth, NJ 07202-2613. The office can be reached at 908-994-1900 (phone) or 908-994-0900 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083960249 directly on the NPPES registry website.

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