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NEW JERSEY PERINATAL ASSOC. LLC NPI 1487696779


NPI Information

NPI: 1487696779
Provider Name: NEW JERSEY PERINATAL ASSOC. LLC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 31D1025072

Address:
94 OLD SHORT HILLS RD
EAST WING, SUITE 402
LIVINGSTON, NJ
ZIP 07039
Phone: (973) 322-5287
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NEW JERSEY PERINATAL ASSOC. LLC is a specialist in Livingston, NJ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NEW JERSEY PERINATAL ASSOC. LLC NPI is 1487696779. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

94 OLD SHORT HILLS RD
EAST WING, SUITE 402
LIVINGSTON, NJ
ZIP 07039-672
Phone: (973) 322-5287

The provider's authorized official is Edward Wolf .
The authorized official title is Delegated Official and has the following contact phone number (973) 322-5287.

The CLIA number assigned to this NPI record is 31D1025072 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/12/2006 and was last updated on 2/16/2009.


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
1174400000XSpecialist25MA06073400NEW JERSEYYes

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
15980027OTHERNEW JERSEYAETNA PPO GROUP #
22122501000OTHERNEW JERSEYAMERIHEALTH GROUP #
32996603OTHERNEW JERSEYAETNA HMO GROUP #
4CK7246OTHERNEW JERSEYRAILROAD MCR GROUP #
5067781MEDICARE PINNEW JERSEY
66602908MEDICAIDNEW 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: 5/5/2024

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