Active NPIIndividual provider

Dwight Bostic Jr.

Case Manager/Care Coordinator in East Orange, New Jersey

NPI Number1477067437
Practice location
86 S Harrison St Ste A, East Orange, NJ 07018-1748
Fax
—
Last updated
November 28, 2017

Dwight Bostic is a Case Manager/Care Coordinator based in East Orange, NJ. Dwight Bostic practices in East Orange, NJ. The NPI Number for Dwight Bostic is 1477067437. The current practice location address for Dwight Bostic is 86 S Harrison St Ste A, East Orange, NJ 07018-1748 and can be reached out via phone at 973-324-7879.

Provider Profile Details

NPI Number
1477067437
Provider Name
Dwight Bostic
Provider Entity Type
Individual
Gender
Male
Address
86 S Harrison St Ste A, East Orange, NJ 07018-1748
Phone Number
973-324-7879
Primary Taxonomy
Case Manager/Care Coordinator · 171M00000X
Sole Proprietor
No
Provider Enumeration Date
November 28, 2017
Last Update Date
November 28, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
86 S Harrison St Ste A
East Orange, NJ 07018-1748
Zip
07018-1748
Phone Number
973-324-7879
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
110 Halcyon Pl
Roselle, NJ 07203-1512
City
Roselle
State
NJ
Zip
07203-1512
Phone Number
908-875-7860

License Information

License State
NJ
Taxonomy
Case Manager/Care Coordinator · 171M00000X · 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 Dwight Bostic Jr.?

The NPI number of Dwight Bostic Jr. is 1477067437. It was assigned on November 28, 2017 and is currently active in the NPPES registry.

What is the specialty of Dwight Bostic Jr.?

Dwight Bostic Jr. is registered under the primary taxonomy Case Manager/Care Coordinator (code 171M00000X).

Where does Dwight Bostic Jr. practice?

The practice location is 86 S Harrison St Ste A, East Orange, NJ 07018-1748. The office can be reached at 973-324-7879 (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 1477067437 directly on the NPPES registry website.

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