PRIORITY HEALTH AND WELLNESS CARE LLC NPI 1780931188

NPI Information

NPI: 1780931188
Provider Name: PRIORITY HEALTH AND WELLNESS CARE LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
930 VALLEY RD
WAYNE, NJ
ZIP 07470
Phone: (973) 696-3868
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PRIORITY HEALTH AND WELLNESS CARE LLC is a primary care clinic center in Wayne, NJ. PRIORITY HEALTH AND WELLNESS CARE LLC NPI is 1780931188. The provider is registered as an organization entity type.

The provider's business location address is:

930 VALLEY RD
WAYNE, NJ
ZIP 07470-900
Phone: (973) 696-3868
Fax: (800) 507-4594

The provider's authorized official is Antonio Angelito .
The authorized official title is Owner and has the following contact phone number (973) 696-3868.

The enumeration date for this NPI number is 8/6/2012 and was last updated on 8/6/2012.

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	261QU0200X	Clinic/Center	Urgent Care	0400492155	NEW JERSEY	No
2	261QP2300X	Clinic/Center	Primary Care	0400492155	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	0228559	MEDICAID	NEW JERSEY
2	173636	OTHER	NEW JERSEY	MEDICARE PTAN
3	173636	MEDICARE PIN	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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