THE STONE CENTER OF NEW JERSEY LLC NPI 1033273594

NPI Information

  • NPI: 1033273594
  • Provider Name: THE STONE CENTER OF NEW JERSEY, LLC
  • Classification: Clinic/Center - 261QL0400X
  • Specialization: Lithotripsy
  • Entity Type: Organization
  • CLIA Number: 31D2006767
  • Address: 150 BERGEN ST
    NEWARK, NJ
    ZIP 07103
  • Phone: (862) 235-1983

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NPI Details

THE STONE CENTER OF NEW JERSEY, LLC is a lithotripsy clinic center in Newark, NJ. THE STONE CENTER OF NEW JERSEY, LLC NPI is 1033273594. The provider is registered as an organization entity type.

The provider's business location address is:

150 BERGEN ST
NEWARK, NJ
ZIP 07103-496
Phone: (862) 235-1983
Fax: (973) 564-5024

The provider's authorized official is Kelly Snyder .
The authorized official title is Cfo and has the following contact phone number (973) 564-5642.

The CLIA number assigned to this NPI record is 31D2006767 - other - ambulatory care facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/20/2006 and was last updated on 2/5/2025.

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
1261QL0400XClinic/CenterLithotripsy22255NEW 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
10114391MEDICAIDNEW 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: 3/30/2025

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