Ewr Medport
Clinic/Center, Occupational Medicine in Newark, New Jersey
1871890079- Practice location
- 339 Brewster RD, Ste 201, Newark, NJ 07114
- Phone
- 973-877-0991
- Fax
- —
- Last updated
- February 24, 2011
Ewr Medport is a healthcare organization based in Newark, NJ. Ewr Medport practices in Newark, NJ. The NPI Number for Ewr Medport is 1871890079 and holds a License No. 25ma08091000 (NJ). The current practice location address for Ewr Medport is 339 Brewster RD, Ste 201, Newark, NJ 07114 and can be reached out via phone at 973-877-0991.
Provider Profile Details
- NPI Number
- 1871890079
- Provider Name
- Ewr Medport
- Provider Entity Type
- Organization
- Address
- 339 Brewster RD, Ste 201, Newark, NJ 07114
- Phone Number
- 973-877-0991
- Primary Taxonomy
- Clinic/Center, Occupational Medicine · 261QX0100X
- Organization Subpart
- No
- Authorized Official
- Dr. Jeffrey Witz, DC · Director · 973-877-0991
- Provider Enumeration Date
- February 24, 2011
- Last Update Date
- February 24, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 339 Brewster RD
Ste 201
Newark, NJ 07114 - City
- Newark
- State
- New Jersey
- Zip
- 07114
- Phone Number
- 973-877-0991
Provider Business Mailing Address Details
- Address
- 339 Brewster RD
Ste 201
Newark, NJ 07114 - City
- Newark
- State
- NJ
- Zip
- 07114
- Phone Number
- 973-877-0991
License Information
- License Number (1)
- 25ma08091000
- License State (1)
- NJ
- Taxonomy (1)
- Clinic/Center, Multi-Specialty · 261QM1300X
- License Number (2)
- 38mc00672500
- License State (2)
- NJ
- Taxonomy (2)
- Clinic/Center, Occupational Medicine · 261QX0100X · 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 Ewr Medport?
The NPI number of Ewr Medport is 1871890079. It was assigned on February 24, 2011 and is currently active in the NPPES registry.
What is the specialty of Ewr Medport?
Ewr Medport is registered under the primary taxonomy Clinic/Center, Occupational Medicine (code 261QX0100X), licensed in NJ under license number 25ma08091000.
Where does Ewr Medport practice?
The practice location is 339 Brewster RD, Ste 201, Newark, NJ 07114. The office can be reached at 973-877-0991 (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 1871890079 directly on the NPPES registry website.