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HEALTH-WISE FAMILY CARE CENTER LLC NPI 1275063679


NPI Information

NPI: 1275063679
Provider Name: HEALTH-WISE FAMILY CARE CENTER LLC

Doing Business As: HEALTH-WISE FAMILY CARE CENTER

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 31D2133482

Address:
400 W FRONT ST OFC 2
PLAINFIELD, NJ
ZIP 07060
Phone: (908) 432-7864
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HEALTH-WISE FAMILY CARE CENTER LLC is a primary care clinic center in Plainfield, NJ. HEALTH-WISE FAMILY CARE CENTER LLC NPI is 1275063679. The provider is registered as an organization entity type.
The provider Is Doing Business As Health-wise Family Care Center.

The provider's business location address is:

400 W FRONT ST OFC 2
PLAINFIELD, NJ
ZIP 07060-120
Phone: (908) 432-7864

The provider's authorized official is Eva Veronica Henry .
The authorized official title is Fnp-bc and has the following contact phone number (908) 432-7864.

The CLIA number assigned to this NPI record is 31D2133482 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/18/2017 and was last updated on 6/16/2018.


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
1261QP2300XClinic/CenterPrimary Care26NJ00702000NEW JERSEYYes

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

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