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IMMEDICARE NPI 1659727550


NPI Information

NPI: 1659727550
Provider Name: IMMEDICARE
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
360 AVENUE P
3RD FLOOR
NEWARK, NJ
ZIP 07105
Phone: (973) 928-8940
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IMMEDICARE is a health service clinic center in Newark, NJ. IMMEDICARE NPI is 1659727550. The provider is registered as an organization entity type.

The provider's business location address is:

360 AVENUE P
3RD FLOOR
NEWARK, NJ
ZIP 07105-802
Phone: (973) 928-8940

The provider's authorized official is Raquel Smith .
The authorized official title is Office Manager and has the following contact phone number (973) 643-8383.

The enumeration date for this NPI number is 5/10/2016 and was last updated on 5/10/2016.


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
1261QH0100XClinic/CenterHealth Service25MA6818400NEW JERSEYYes

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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