YOUR NEIGHBORHOOD CLINIC LLC NPI 1407424021

NPI Information

NPI: 1407424021
Provider Name: YOUR NEIGHBORHOOD CLINIC LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 31D2205517

Address:
454 MORRIS AVE
SPRINGFIELD, NJ
ZIP 07081
Phone: (908) 312-0288
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YOUR NEIGHBORHOOD CLINIC LLC is a primary care clinic center in Springfield, NJ. YOUR NEIGHBORHOOD CLINIC LLC NPI is 1407424021. The provider is registered as an organization entity type.

The provider's business location address is:

454 MORRIS AVE
SPRINGFIELD, NJ
ZIP 07081-158
Phone: (908) 312-0288

The provider's authorized official is Mary Odusanya .
The authorized official title is Apn and has the following contact phone number (908) 312-0288.

The CLIA number assigned to this NPI record is 31D2205517 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/11/2021 and was last updated on 6/11/2021.

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			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: 5/5/2024

NPI Synchronization or Removal

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