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 | 251E00000X | Home Health | | HP0015323 | 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 | 25626 | OTHER | NEW JERSEY | COVENTRY HEALTH CARE |
| 2 | 0L0714 | OTHER | NEW JERSEY | ACS/HEALTH NET |
| 3 | 1504904 | OTHER | NEW JERSEY | MAGNACARE |
| 4 | 819074 | OTHER | NEW JERSEY | HORIZON BC/BS OF NJ |
| 5 | 228865 | OTHER | NEW JERSEY | MAMSI |
| 6 | A10008 | OTHER | NEW JERSEY | MID-ATLANTIC HEALTH PLAN |
| 7 | YVPH8N | OTHER | NEW JERSEY | DYFS |
| 8 | 37545 | OTHER | NEW JERSEY | AMERIGROUP NEW JERSEY |
| 9 | 81CN5R | OTHER | NEW JERSEY | DDD |
| 10 | A476325 | OTHER | NEW JERSEY | OXFORD HEALTH PLAN |
| 11 | 0004461000 | OTHER | NEW JERSEY | AMERIHEALTH - NJ |
| 12 | 1024958 | OTHER | NEW JERSEY | HORIZON NJ HEALTH |
| 13 | 115652 | OTHER | NEW JERSEY | CAREMARK, INC |
| 14 | 000763 | OTHER | NEW JERSEY | HORIZON HEALTHCARE - NY |
| 15 | 68746 | OTHER | NEW JERSEY | AETNA/US HEALTHCARE |
| 16 | 9028803 | MEDICAID | NEW JERSEY | |
| 17 | 47412 | OTHER | NEW JERSEY | KEYSTONE MERCY HEALTH PLA |
| 18 | 803200Z4646100 | OTHER | NEW JERSEY | EMPIRE BC/BS |
