Active NPIOrganization

Edison Medical Nutrition Center

Clinic/Center, Primary Care in Edison, New Jersey

NPI Number1528195468
Practice location
15 S Main St, Edison, NJ 08837-3447
Fax
—
Last updated
August 22, 2020

Edison Medical Nutrition Center is a healthcare organization based in Edison, NJ. Edison Medical Nutrition Center practices in Edison, NJ. The NPI Number for Edison Medical Nutrition Center is 1528195468 and holds a License No. MB046474 (NJ). The current practice location address for Edison Medical Nutrition Center is 15 S Main St, Edison, NJ 08837-3447 and can be reached out via phone at 732-906-8866.

Provider Profile Details

NPI Number
1528195468
Provider Name
Edison Medical Nutrition Center
Provider Entity Type
Organization
Address
15 S Main St, Edison, NJ 08837-3447
Phone Number
732-906-8866
Primary Taxonomy
Clinic/Center, Primary Care · 261QP2300X
Organization Subpart
No
Authorized Official
Dr. Richard Barton Menashe, DO · Physician · 732-906-8866
Provider Enumeration Date
February 27, 2007
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 S Main St
Edison, NJ 08837-3447
City
Edison
Zip
08837-3447
Phone Number
732-906-8866
Edison, NJ 08837Get directions →

Provider Business Mailing Address Details

Address
15 S Main St
Edison, NJ 08837-3447
City
Edison
State
NJ
Zip
08837-3447
Phone Number
732-906-8866

License Information

License Number
MB046474
License State
NJ
Taxonomy
Clinic/Center, Primary Care · 261QP2300X · 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 Edison Medical Nutrition Center?

The NPI number of Edison Medical Nutrition Center is 1528195468. It was assigned on February 27, 2007 and is currently active in the NPPES registry.

What is the specialty of Edison Medical Nutrition Center?

Edison Medical Nutrition Center is registered under the primary taxonomy Clinic/Center, Primary Care (code 261QP2300X), licensed in NJ under license number MB046474.

Where does Edison Medical Nutrition Center practice?

The practice location is 15 S Main St, Edison, NJ 08837-3447. The office can be reached at 732-906-8866 (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 1528195468 directly on the NPPES registry website.

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