Active NPIOrganization

Dominick Condo, MD PA

Internal Medicine in Bayonne, New Jersey

NPI Number1588764500
Practice location
622 Broadway, Bayonne, NJ 07002-3821
Fax
201-436-9840
Last updated
September 9, 2010

Dominick Condo, MD PA is a healthcare organization based in Bayonne, NJ. Dominick Condo, MD PA practices in Bayonne, NJ. The NPI Number for Dominick Condo, MD PA is 1588764500 and holds a License No. MA041384 (NJ). The current practice location address for Dominick Condo, MD PA is 622 Broadway, Bayonne, NJ 07002-3821 and can be reached out via phone at 201-436-2800 and via fax at 201-436-9840.

Provider Profile Details

NPI Number
1588764500
Provider Name
Dominick Condo, MD PA
Provider Entity Type
Organization
Address
622 Broadway, Bayonne, NJ 07002-3821
Phone Number
201-436-2800
Fax Number
201-436-9840
Primary Taxonomy
Internal Medicine · 207R00000X
Organization Subpart
No
Authorized Official
Dr. Dominick Condo, MD · Medical Director · 201-436-2800
Other Names
Simone & Condo, PA (Former Legal Business Name)
Provider Enumeration Date
September 22, 2006
Last Update Date
September 9, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
622 Broadway
Bayonne, NJ 07002-3821
Zip
07002-3821
Phone Number
201-436-2800
Fax Number
201-436-9840
Bayonne, NJ 07002Get directions →

Provider Business Mailing Address Details

Address
Po Box 51
Bayonne, NJ 07002-0051
City
Bayonne
State
NJ
Zip
07002-0051
Phone Number
201-436-2800
Fax Number
201-436-9840

License Information

License Number
MA041384
License State
NJ
Taxonomy
Internal Medicine · 207R00000X · 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 Dominick Condo, MD PA?

The NPI number of Dominick Condo, MD PA is 1588764500. It was assigned on September 22, 2006 and is currently active in the NPPES registry.

What is the specialty of Dominick Condo, MD PA?

Dominick Condo, MD PA is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number MA041384.

Where does Dominick Condo, MD PA practice?

The practice location is 622 Broadway, Bayonne, NJ 07002-3821. The office can be reached at 201-436-2800 (phone) or 201-436-9840 (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 1588764500 directly on the NPPES registry website.

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