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CAREMED PLUS P.C. NPI 1720637150


NPI Information

NPI: 1720637150
Provider Name: CAREMED PLUS P.C.
Classification: Psychiatry & Neurology - 2084A0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 31D2299026

Address:
508 HAMBURG TPKE STE 107
WAYNE, NJ
ZIP 07470
Phone: (201) 297-9517
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CAREMED PLUS P.C. is an addiction medicine psychiatry neurology in Wayne, NJ. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine CAREMED PLUS P.C. NPI is 1720637150. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

508 HAMBURG TPKE STE 107
WAYNE, NJ
ZIP 07470-482
Phone: (201) 297-9517

The provider's authorized official is Alexander Ivanov .
The authorized official title is Owner/operator and has the following contact phone number (201) 297-9517.

The CLIA number assigned to this NPI record is 31D2299026 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/9/2019 and was last updated on 9/9/2019.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084A0401XPsychiatry & NeurologyAddiction 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11790825222MEDICAIDNEW JERSEY
21689726374MEDICAIDNEW 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

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