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LODESPOTO MEDICAL OF NJ LLC NPI 1013319052


NPI Information

NPI: 1013319052
Provider Name: LODESPOTO MEDICAL OF NJ LLC

Former Legal Business Name: EYECUITY OF NEW JERSEY

Classification: Radiology - 2085N0700X
Entity Type: Organization

Specialization: Neuroradiology

Address:
225 PASSAIC ST
PASSAIC, NJ
ZIP 07055
Phone: (201) 335-8909
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LODESPOTO MEDICAL OF NJ LLC is a neuroradiology radiology in Passaic, NJ. The provider is a radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. LODESPOTO MEDICAL OF NJ LLC NPI is 1013319052. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Eyecuity Of New Jersey.

The provider's business location address is:

225 PASSAIC ST
PASSAIC, NJ
ZIP 07055-414
Phone: (201) 335-8909
Fax: (844) 840-7352

The provider's authorized official is Mark J Lodespoto .
The authorized official title is Owner and has the following contact phone number (201) 335-8909.

The enumeration date for this NPI number is 9/22/2014 and was last updated on 4/17/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085N0700XRadiologyNeuroradiology25MA09300800NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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