PERTH AMBOY HEALTH CARE L.L.C. NPI 1427092675

NPI Information

NPI: 1427092675
Provider Name: PERTH AMBOY HEALTH CARE L.L.C.
Classification: Clinic/Center - 261QR0206X
Entity Type: Organization

Specialization: Radiology, Mammography

Address:
607 AMBOY AVENUE
PERTH AMBOY, NJ
ZIP 08861
Phone: (732) 442-5444
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PERTH AMBOY HEALTH CARE L.L.C. is a radiology and mammography clinic center in Perth Amboy, NJ. PERTH AMBOY HEALTH CARE L.L.C. NPI is 1427092675. The provider is registered as an organization entity type.

The provider's business location address is:

607 AMBOY AVENUE
PERTH AMBOY, NJ
ZIP 08861-595
Phone: (732) 442-5444
Fax: (732) 442-2626

The provider's authorized official is Paulette Clay .
The authorized official title is Chief Executive Officer and has the following contact phone number (732) 442-5444.

The enumeration date for this NPI number is 6/16/2006 and was last updated on 9/18/2019.

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	261QR0206X	Clinic/Center	Radiology, Mammography	22620	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	8180202	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: 5/5/2024

NPI Synchronization or Removal

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