Active NPIOrganization

Pinebrook Medical Center LLC,

Clinic/Center, Primary Care in Montville, New Jersey

NPI Number1811205024
Practice location
170 Changebridge Road, Suite A-3, Montville, NJ 07045
Fax
973-808-3202
Last updated
September 22, 2010

Pinebrook Medical Center LLC, is a healthcare organization based in Montville, NJ. Pinebrook Medical Center LLC, practices in Montville, NJ. The NPI Number for Pinebrook Medical Center LLC, is 1811205024 and holds a License No. MB58292 (NJ). The current practice location address for Pinebrook Medical Center LLC, is 170 Changebridge Road, Suite A-3, Montville, NJ 07045 and can be reached out via phone at 973-808-3200 and via fax at 973-808-3202.

Provider Profile Details

NPI Number
1811205024
Provider Name
Pinebrook Medical Center LLC,
Provider Entity Type
Organization
Address
170 Changebridge Road, Suite A-3, Montville, NJ 07045
Phone Number
973-808-3200
Fax Number
973-808-3202
Primary Taxonomy
Clinic/Center, Primary Care · 261QP2300X
Organization Subpart
No
Authorized Official
Dr. Thomas Stack, DO · Owner/Doctor · 973-808-3200
Provider Enumeration Date
September 22, 2010
Last Update Date
September 22, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
170 Changebridge Road
Suite A-3
Montville, NJ 07045
Zip
07045
Phone Number
973-808-3200
Fax Number
973-808-3202
Montville, NJ 07045Get directions →

Provider Business Mailing Address Details

Address
170 Changebridge RD Bldg A3
Montville, NJ 07045-8802
City
Montville
State
NJ
Zip
07045-8802
Phone Number
973-808-3200
Fax Number
973-808-3202

License Information

License Number
MB58292
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 Pinebrook Medical Center LLC,?

The NPI number of Pinebrook Medical Center LLC, is 1811205024. It was assigned on September 22, 2010 and is currently active in the NPPES registry.

What is the specialty of Pinebrook Medical Center LLC,?

Pinebrook Medical Center LLC, is registered under the primary taxonomy Clinic/Center, Primary Care (code 261QP2300X), licensed in NJ under license number MB58292.

Where does Pinebrook Medical Center LLC, practice?

The practice location is 170 Changebridge Road, Suite A-3, Montville, NJ 07045. The office can be reached at 973-808-3200 (phone) or 973-808-3202 (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 1811205024 directly on the NPPES registry website.

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