SPRING SPA DEPOT CORPORATION NPI 1083972442

NPI Information

NPI: 1083972442
Provider Name: SPRING SPA DEPOT CORPORATION
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
6 GOBLE ST
NEWARK, NJ
ZIP 07114
Phone: (888) 412-0570
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SPRING SPA DEPOT CORPORATION is a non pharmacy dispensing site in Newark, NJ. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) SPRING SPA DEPOT CORPORATION NPI is 1083972442. The provider is registered as an organization entity type.

The provider's business location address is:

6 GOBLE ST
NEWARK, NJ
ZIP 07114-702
Phone: (888) 412-0570

The provider's authorized official is Garis L Silega .
The authorized official title is President and has the following contact phone number (862) 241-1800.

The enumeration date for this NPI number is 4/24/2012 and was last updated on 4/24/2012.

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	License State	Primary
1	305R00000X	Preferred Provider Organization	NEW JERSEY	No
2	320700000X	Residential Treatment Facility, Physical Disabilities	NEW JERSEY	No
3	332900000X	Non-Pharmacy Dispensing Site	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	964725290	OTHER		DB

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: 4/28/2024

NPI Synchronization or Removal

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