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CARERIVET MEDICAL SERVICES LLC NPI 1942767066


NPI Information

NPI: 1942767066
Provider Name: CARERIVET MEDICAL SERVICES LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
26 UNIVERSITY PLACE BLVD
1ST FLOOR
JERSEY CITY, NJ
ZIP 07305
Phone: (845) 721-1848
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CARERIVET MEDICAL SERVICES LLC is a family medicine in Jersey City, NJ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CARERIVET MEDICAL SERVICES LLC NPI is 1942767066. The provider is registered as an organization entity type.

The provider's business location address is:

26 UNIVERSITY PLACE BLVD
1ST FLOOR
JERSEY CITY, NJ
ZIP 07305
Phone: (845) 721-1848

The provider's authorized official is Samuel Walters .
The authorized official title is Owner/md and has the following contact phone number (845) 721-1848.

The enumeration date for this NPI number is 2/25/2019 and was last updated on 2/25/2019.


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
1261QM1300XClinic/CenterMulti-SpecialtyNo
2261QP2000XClinic/CenterPhysical TherapyNo
3261QP2300XClinic/CenterPrimary CareNo
4207Q00000XFamily MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
125MA03794100OTHERNEW JERSEYMEDICAL LICENSE

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: 11/14/2023

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