EWR MEDPORT NPI 1871890079

NPI Information

NPI: 1871890079
Provider Name: EWR MEDPORT
Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

Address:
339 BREWSTER RD
STE 201
NEWARK, NJ
ZIP 07114
Phone: (973) 877-0991
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EWR MEDPORT is an occupational medicine clinic center in Newark, NJ. EWR MEDPORT NPI is 1871890079. The provider is registered as an organization entity type.

The provider's business location address is:

339 BREWSTER RD
STE 201
NEWARK, NJ
ZIP 07114
Phone: (973) 877-0991

The provider's authorized official is Jeffrey Witz .
The authorized official title is Director and has the following contact phone number (973) 877-0991.

The enumeration date for this NPI number is 2/24/2011 and was last updated on 2/24/2011.

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	261QM1300X	Clinic/Center	Multi-Specialty	25MA08091000	NEW JERSEY	No
2	261QX0100X	Clinic/Center	Occupational Medicine	38MC00672500	NEW JERSEY	Yes

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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