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BAYONNE EMERGENCY ASSOC LLC NPI 1194761502


NPI Information

NPI: 1194761502
Provider Name: BAYONNE EMERGENCY ASSOC LLC

Other Name: LLC

Classification: Clinic/Center - 261QE0002X
Entity Type: Organization

Specialization: Emergency Care

Address:
29 EAST 29TH STREET
BAYONNE, NJ
ZIP 07002
Phone: (201) 858-5000
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BAYONNE EMERGENCY ASSOC LLC is an emergency care clinic center in Bayonne, NJ. BAYONNE EMERGENCY ASSOC LLC NPI is 1194761502. The provider is registered as an organization entity type.
The provider Other Name Is Llc.

The provider's business location address is:

29 EAST 29TH STREET
BAYONNE, NJ
ZIP 07002
Phone: (201) 858-5000
Fax: (856) 616-1919

The provider's authorized official is David Istvan .
The authorized official title is President and has the following contact phone number (201) 858-5000.

The enumeration date for this NPI number is 6/22/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0002XClinic/CenterEmergency CareYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18101906MEDICAIDNEW 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: 4/28/2024

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