NJR HEALTHCARE PC NPI 1134399447

NPI Information

NPI: 1134399447
Provider Name: NJR HEALTHCARE PC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1616 PACIFIC AVE
SUITE 212
ATLANTIC CITY, NJ
ZIP 08401
Phone: (609) 498-7220
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NJR HEALTHCARE PC is a primary care clinic center in Atlantic City, NJ. NJR HEALTHCARE PC NPI is 1134399447. The provider is registered as an organization entity type.

The provider's business location address is:

1616 PACIFIC AVE
SUITE 212
ATLANTIC CITY, NJ
ZIP 08401-939
Phone: (609) 498-7220
Fax: (185) 527-1739

The provider's authorized official is Alan H Faustino .
The authorized official title is Doctor and has the following contact phone number (609) 335-3072.

The enumeration date for this NPI number is 3/4/2008 and was last updated on 6/27/2011.

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	261QP2300X	Clinic/Center	Primary Care	MA07168000	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
1	G79005	MEDICARE UPIN	NEW JERSEY
2	0111031	MEDICAID	NEW JERSEY
3	103648	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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