CAG MEMORIAL HEALTH CENTER NPI 1376799932

NPI Information

NPI: 1376799932
Provider Name: CAG MEMORIAL HEALTH CENTER
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
75 HARRISON AVE
SUITE #2
JERSEY CITY, NJ
ZIP 07304
Phone: (201) 333-0094
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CAG MEMORIAL HEALTH CENTER is an adult medicine family medicine in Jersey City, NJ. The provider is definition to come. CAG MEMORIAL HEALTH CENTER NPI is 1376799932. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

75 HARRISON AVE
SUITE #2
JERSEY CITY, NJ
ZIP 07304-555
Phone: (201) 333-0094
Fax: (201) 333-6538

The provider's authorized official is Jonathan C. Gibbs .
The authorized official title is Medical Director and has the following contact phone number (201) 333-0094.

The enumeration date for this NPI number is 8/14/2008 and was last updated on 8/14/2008.

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
1	207QA0505X	Family Medicine	Adult Medicine	MAO13695	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	E86685	MEDICARE UPIN	NEW JERSEY
2	01000097700	OTHER	NEW JERSEY	AMERICHOICE
3	2684403	MEDICAID	NEW JERSEY

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: 11/14/2023

NPI Synchronization or Removal

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