WEST HUDSON PULMONARY ASSOCIATES CORPC - NPI NUMBER 1609002823

Summary

Provider Name: WEST HUDSON PULMONARY ASSOCIATES CORPC

NPI Number: 1609002823

Clasification: Internal Medicine (207RP1001X)

Specialization: Pulmonary Disease

Address:
816 KEARNY AVE
KEARNY, NJ
ZIP 07032

Phone Number: (201) 991-4544



Detailed Information

WEST HUDSON PULMONARY ASSOCIATES CORPC is a pulmonary disease internist in Kearny, NJ. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. The assigned NPI number for this provider is 1609002823 and is registered as an organization entity type and is a multi-specialty group.

The provider's business address is:

816 KEARNY AVE
KEARNY, NJ
ZIP 07032-148
Phone: (201) 991-4544

The provider's authorized official is Jehad Saliba .
The authorized official title is Pres and has the following contact phone number (201) 991-4544.

The enumeration date for this NPI number is 6/2/2009 and was last updated on 5/12/2014.

Map - Location of Practice

Taxonomy Codes

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 207RP1001X Internal Medicine Pulmonary Disease 0400287406 NJ Yes

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1609002823 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
4 Provider Organization Name Legal Business Name WEST HUDSON PULMONARY ASSOCIATES CORPC The name of the organization provider. If the provider is an organization, this is the legal business name.
5 Provider First Line Business Practice Location Address 816 KEARNY AVE The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
6 Provider Business Practice Location Address City Name KEARNY The city name in the location address of the provider being identified.
7 Provider Business Practice Location Address State Name NJ The State code in the location of the provider being identified.
8 Provider Business Practice Location Address Postal Code 070323148 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
9 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
10 Provider Business Practice Location Address Telephone Number 2019914544 The telephone number associated with the location address of the provider being identified.
11 Provider Enumeration Date 6/2/2009 The date the provider was assigned a unique identifier (assigned an NPI).
12 Last Update Date 5/12/2014 The date that a record was last updated or changed.
13 Authorized Official Last Name SALIBA The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
14 Authorized Official First Name JEHAD The first name of the authorized official.
15 Authorized Official Title or Position PRES The title or position of the authorized official.
16 Authorized Official Telephone Number 2019914544 The 10-position telephone number of the authorized official.
17 Healthcare Provider Taxonomy Code 1 207RP1001X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
18 Provider License Number 1 0400287406 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
19 Provider License Number State Code 1 NJ The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Is Organization Subpart N
22 Authorized Official Name Prefix Text DR.
23 Authorized Official Credential Text M.D.
24 Healthcare Provider Taxonomy Group 1 193200000X MULTI-SPECIALTY GROUP

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This page was last updated on: 3/10/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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