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MANUEL B BANZON MD LLC NPI 1730262536


NPI Information

NPI: 1730262536
Provider Name: MANUEL B BANZON MD LLC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
1265 PATERSON PLANK RD
SUITE 3D
SECAUCUS, NJ
ZIP 07094
Phone: (201) 864-4442
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MANUEL B BANZON MD LLC is a medical specialty clinic center in Secaucus, NJ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). MANUEL B BANZON MD LLC NPI is 1730262536. The provider is registered as an organization entity type.

The provider's business location address is:

1265 PATERSON PLANK RD
SUITE 3D
SECAUCUS, NJ
ZIP 07094-242
Phone: (201) 864-4442
Fax: (201) 864-5038

The provider's authorized official is Manuel Banzon .
The authorized official title is Owner and has the following contact phone number (201) 864-4442.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 3/18/2014.


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
1261QM2500XClinic/CenterMedical SpecialtyMA27187NEW JERSEYYes

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
1C54680MEDICARE UPIN
2444234MEDICARE PINNEW JERSEY
3119586MEDICARE PIN

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.