O E SANDOVAL MD PC NPI 1902250913

NPI Information

NPI: 1902250913
Provider Name: O E SANDOVAL MD PC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
569 35TH ST
UNION CITY, NJ
ZIP 07087
Phone: (201) 866-6970
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O E SANDOVAL MD PC is a mental health counselor in Union City, NJ. O E SANDOVAL MD PC NPI is 1902250913. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

569 35TH ST
UNION CITY, NJ
ZIP 07087-563
Phone: (201) 866-6970
Fax: (201) 866-7144

The provider's authorized official is Oscar E Sandoval .
The authorized official title is Director and has the following contact phone number (201) 866-9670.

The enumeration date for this NPI number is 4/15/2016 and was last updated on 4/15/2016.

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
1	101YM0800X	Counselor	Mental Health			Yes

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
1	E84173	MEDICARE UPIN	NEW JERSEY
2	3585905	MEDICAID	NEW JERSEY
3	SA669864	MEDICARE PIN	NEW JERSEY
4	25MA045843	OTHER	NEW JERSEY	LICENSE

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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