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BLUE RIVER WOMEN'S HEALTH PA NPI 1578962916


NPI Information

NPI: 1578962916
Provider Name: BLUE RIVER WOMEN'S HEALTH PA
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 31D2096596

Address:
680 BROADWAY
STE 506 FIRST FLOOR
PATERSON, NJ
ZIP 07514
Phone: (973) 500-2399
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BLUE RIVER WOMEN'S HEALTH PA is a specialist in Paterson, NJ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BLUE RIVER WOMEN'S HEALTH PA NPI is 1578962916. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

680 BROADWAY
STE 506 FIRST FLOOR
PATERSON, NJ
ZIP 07514-524
Phone: (973) 500-2399
Fax: (855) 302-5570

The provider's authorized official is Aiman K Shilad .
The authorized official title is Md and has the following contact phone number (917) 436-5371.

The CLIA number assigned to this NPI record is 31D2096596 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/21/2014 and was last updated on 9/12/2016.


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
1174400000XSpecialist25MA07788200NEW 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.