Dominick Condo MD PA
Non-Pharmacy Dispensing Site in Bayonne, New Jersey
1770904138- Practice location
- 622 Broadway, Bayonne, NJ 07002-3821
- Phone
- 201-436-2800
- Fax
- —
- Last updated
- December 10, 2015
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 1770904138 and holds a License No. 25MA08097300 (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.
Provider Profile Details
- NPI Number
- 1770904138
- Provider Name
- Dominick Condo MD PA
- Provider Entity Type
- Organization
- Address
- 622 Broadway, Bayonne, NJ 07002-3821
- Phone Number
- 201-436-2800
- 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
- January 2, 2014
- Last Update Date
- December 10, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 622 Broadway
Bayonne, NJ 07002-3821 - City
- Bayonne
- State
- New Jersey
- Zip
- 07002-3821
- Phone Number
- 201-436-2800
Provider Business Mailing Address Details
- Address
- 9276 Scranton RD
Suite 100
San Diego, CA 92121-7701 - City
- San Diego
- State
- CA
- Zip
- 92121-7701
License Information
- License Number
- 25MA08097300
- License State
- NJ
- Taxonomy
- Non-Pharmacy Dispensing Site · 332900000X · 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 Dominick Condo MD PA?
The NPI number of Dominick Condo MD PA is 1770904138. It was assigned on January 2, 2014 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 Non-Pharmacy Dispensing Site (code 332900000X), licensed in NJ under license number 25MA08097300.
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).
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 1770904138 directly on the NPPES registry website.