Active NPIOrganization

Nj Med PA

Non-Pharmacy Dispensing Site in Elizabeth, New Jersey

NPI Number1225439037
Practice location
240 Williamson St, Suite 204, Elizabeth, NJ 07202-3674
Fax
—
Last updated
September 11, 2014

Nj Med PA is a healthcare organization based in Elizabeth, NJ. Nj Med PA practices in Elizabeth, NJ. The NPI Number for Nj Med PA is 1225439037 and holds a License No. 25MA05507700 (NJ). The current practice location address for Nj Med PA is 240 Williamson St, Suite 204, Elizabeth, NJ 07202-3674 and can be reached out via phone at 908-355-8877.

Provider Profile Details

NPI Number
1225439037
Provider Name
Nj Med PA
Provider Entity Type
Organization
Address
240 Williamson St, Suite 204, Elizabeth, NJ 07202-3674
Phone Number
908-355-8877
Primary Taxonomy
Non-Pharmacy Dispensing Site · 332900000X
Organization Subpart
Yes
Parent Organization
Medvantx INC.
Authorized Official
Kenny Heine · Vp Of Operations · 858-964-1506
Provider Enumeration Date
September 11, 2014
Last Update Date
September 11, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
240 Williamson St
Suite 204
Elizabeth, NJ 07202-3674
Zip
07202-3674
Phone Number
908-355-8877
Elizabeth, NJ 07202Get directions →

Provider Business Mailing Address Details

Address
5626 Oberlin Dr
Suite 110
San Diego, CA 92121-1705
City
San Diego
State
CA
Zip
92121-1705

License Information

License Number
25MA05507700
License State
NJ
Taxonomy
Non-Pharmacy Dispensing Site · 332900000X · 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 Nj Med PA?

The NPI number of Nj Med PA is 1225439037. It was assigned on September 11, 2014 and is currently active in the NPPES registry.

What is the specialty of Nj Med PA?

Nj Med PA is registered under the primary taxonomy Non-Pharmacy Dispensing Site (code 332900000X), licensed in NJ under license number 25MA05507700.

Where does Nj Med PA practice?

The practice location is 240 Williamson St, Suite 204, Elizabeth, NJ 07202-3674. The office can be reached at 908-355-8877 (phone).

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 1225439037 directly on the NPPES registry website.

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