21ST Century Total Health Clinic PC
Exclusive Provider Organization in Orange, New Jersey
1679909030- Practice location
- 439 Main St, Suite 101, Orange, NJ 07050-1523
- Phone
- 973-675-8700
- Fax
- 973-675-8701
- Last updated
- August 4, 2016
21ST Century Total Health Clinic PC is a healthcare organization based in Orange, NJ. 21ST Century Total Health Clinic PC practices in Orange, NJ. The NPI Number for 21ST Century Total Health Clinic PC is 1679909030 and holds a License No. 38mcoo641500 (NJ). The current practice location address for 21ST Century Total Health Clinic PC is 439 Main St, Suite 101, Orange, NJ 07050-1523 and can be reached out via phone at 973-675-8700 and via fax at 973-675-8701.
Provider Profile Details
- NPI Number
- 1679909030
- Provider Name
- 21ST Century Total Health Clinic PC
- Provider Entity Type
- Organization
- Address
- 439 Main St, Suite 101, Orange, NJ 07050-1523
- Phone Number
- 973-675-8700
- Fax Number
- 973-675-8701
- Primary Taxonomy
- Exclusive Provider Organization · 302F00000X
- Organization Subpart
- No
- Authorized Official
- Kesnold Baptiste, DC · President · 908-625-7463
- Provider Enumeration Date
- September 17, 2013
- Last Update Date
- August 4, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 439 Main St
Suite 101
Orange, NJ 07050-1523 - City
- Orange
- State
- New Jersey
- Zip
- 07050-1523
- Phone Number
- 973-675-8700
- Fax Number
- 973-675-8701
Provider Business Mailing Address Details
- Address
- 439 Main St
Suite 101
Orange, NJ 07050-1523 - City
- Orange
- State
- NJ
- Zip
- 07050-1523
- Phone Number
- 973-675-8700
- Fax Number
- 973-675-8701
License Information
- License Number
- 38mcoo641500
- License State
- NJ
- Taxonomy
- Exclusive Provider Organization · 302F00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 21ST Century Total Health Clinic PC?
The NPI number of 21ST Century Total Health Clinic PC is 1679909030. It was assigned on September 17, 2013 and is currently active in the NPPES registry.
What is the specialty of 21ST Century Total Health Clinic PC?
21ST Century Total Health Clinic PC is registered under the primary taxonomy Exclusive Provider Organization (code 302F00000X), licensed in NJ under license number 38mcoo641500.
Where does 21ST Century Total Health Clinic PC practice?
The practice location is 439 Main St, Suite 101, Orange, NJ 07050-1523. The office can be reached at 973-675-8700 (phone) or 973-675-8701 (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 1679909030 directly on the NPPES registry website.