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CLC MEDICAL SERVICES INC. NPI 1598791063


NPI Information

NPI: 1598791063
Provider Name: CLC MEDICAL SERVICES INC.
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
150 BAY ST
SUITE 915
JERSEY CITY, NJ
ZIP 07302
Phone: (973) 986-4013
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CLC MEDICAL SERVICES INC. is a medical physician assistant in Jersey City, NJ. CLC MEDICAL SERVICES INC. NPI is 1598791063. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

150 BAY ST
SUITE 915
JERSEY CITY, NJ
ZIP 07302-900
Phone: (973) 986-4013

The provider's authorized official is Charles Chandler .
The authorized official title is Physician Assistant and has the following contact phone number (973) 986-4013.

The enumeration date for this NPI number is 6/24/2006 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
1363AM0700XPhysician AssistantMedicalMP00056300NEW 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11417996OTHERNEW JERSEYNATIONAL PROVIDER INDIVUA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.