Active NPIOrganization

Crystallensexpress

Health Maintenance Organization in Union City, New Jersey

NPI Number1851428825
Practice location
3907 Bergenline Ave, Union City, NJ 07087-4819
Fax
201-865-5549
Last updated
September 2, 2016

Crystallensexpress is a healthcare organization based in Union City, NJ. Crystallensexpress practices in Union City, NJ. The NPI Number for Crystallensexpress is 1851428825 and holds a License No. 31td003514 (NJ). The current practice location address for Crystallensexpress is 3907 Bergenline Ave, Union City, NJ 07087-4819 and can be reached out via phone at 201-865-8300 and via fax at 201-865-5549.

Provider Profile Details

NPI Number
1851428825
Provider Name
Crystallensexpress
Provider Entity Type
Organization
Address
3907 Bergenline Ave, Union City, NJ 07087-4819
Phone Number
201-865-8300
Fax Number
201-865-5549
Primary Taxonomy
Health Maintenance Organization · 302R00000X
Organization Subpart
No
Authorized Official
Amir Khairy · Manager · 201-865-8300
Provider Enumeration Date
February 27, 2007
Last Update Date
September 2, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
3907 Bergenline Ave
Union City, NJ 07087-4819
Zip
07087-4819
Phone Number
201-865-8300
Fax Number
201-865-5549
Union City, NJ 07087Get directions →

Provider Business Mailing Address Details

Address
3907 Bergenline Ave.
Union City, NJ 07087-4750
City
Union City
State
NJ
Zip
07087-4750
Phone Number
201-865-8300
Fax Number
201-865-5549

License Information

License Number
31td003514
License State
NJ
Taxonomy
Health Maintenance Organization · 302R00000X · 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 Crystallensexpress?

The NPI number of Crystallensexpress is 1851428825. It was assigned on February 27, 2007 and is currently active in the NPPES registry.

What is the specialty of Crystallensexpress?

Crystallensexpress is registered under the primary taxonomy Health Maintenance Organization (code 302R00000X), licensed in NJ under license number 31td003514.

Where does Crystallensexpress practice?

The practice location is 3907 Bergenline Ave, Union City, NJ 07087-4819. The office can be reached at 201-865-8300 (phone) or 201-865-5549 (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 1851428825 directly on the NPPES registry website.

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