Amerigroup Community Care

LBN: Amerigroup New Jersey, Inc.
Amerigroup Community Care is an health care organization with primary practice located at 399 Thornall St Ninth Floor, Edison NJ 08837-2236. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Amerigroup New Jersey, Inc. can be contacted via phone (732) 452-6000, or through Haytaian, Peter D via phone (732) 452-6000.

Contact Information

Primary practice address
399 Thornall St Ninth Floor Edison NJ 08837-2236
Fax: (732) 452-0407
Website:
Authorized official contact:
Name: Haytaian, Peter D

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X New Jersey

Profile Details

NPI number 1023092236
LBN Legal business name Amerigroup New Jersey, Inc.
DBA Doing business as Amerigroup Community Care
Authorized official Haytaian, Peter D
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2005
Last updated Aug 22nd, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023092236 NPPES
New Jersey MEDICAID 670043

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