IJKG OPCO LLC NPI 1598961120

NPI Information

NPI: 1598961120
Provider Name: IJKG OPCO LLC

Other Name: BAYONNE MEDICAL CENTER

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
29TH STREET AT AVENUE E
BAYONNE, NJ
ZIP 07002
Phone: (201) 858-5000
Get Directions

IJKG OPCO LLC is an end-stage renal disease (esrd) treatment clinic center in Bayonne, NJ. IJKG OPCO LLC NPI is 1598961120. The provider is registered as an organization entity type.
The provider Other Name Is Bayonne Medical Center.

The provider's business location address is:

29TH STREET AT AVENUE E
BAYONNE, NJ
ZIP 07002
Phone: (201) 858-5000
Fax: (201) 858-7333

The provider's authorized official is Daniel Kane .
The authorized official title is PRESIDENT AND CEOAnd Ceo and has the following contact phone number (201) 858-7111.

The enumeration date for this NPI number is 6/21/2007 and was last updated on 3/19/2008.

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	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			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	312324	MEDICARE OSCAR/CERTIFICATION	NEW JERSEY
2	4136705	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: 4/28/2024

NPI Synchronization or Removal

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