JKP REGENERATION LLC NPI 1740173038

NPI Information

  • NPI: 1740173038
  • Provider Name: JKP REGENERATION LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 30 W CENTURY RD STE 300
    PARAMUS, NJ
    ZIP 07652
  • Phone: (516) 775-8602

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NPI Details

JKP REGENERATION LLC is an ambulatory surgical clinic center in Paramus, NJ. JKP REGENERATION LLC NPI is 1740173038. The provider is registered as an organization entity type.

The provider's business location address is:

30 W CENTURY RD STE 300
PARAMUS, NJ
ZIP 07652-435
Phone: (516) 775-8602

The provider's authorized official is Amalan Krishnamoorthy .
The authorized official title is Owner and has the following contact phone number (516) 775-8602.

The enumeration date for this NPI number is 6/3/2025 and was last updated on 6/3/2025.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 11/21/2025

NPI Synchronization or Removal

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