Cag Memorial Health Center

LBN: Cag Memorial Health Center
Cag Memorial Health Center is an health care organization with primary practice located at 75 Harrison Ave Suite #2, Jersey City NJ 07304-2555. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as the primary health care specialty. Cag Memorial Health Center can be contacted via phone (201) 333-0094, or through Gibbs, Jonathan C. via phone (201) 333-0094.

Contact Information

Primary practice address
75 Harrison Ave Suite #2 Jersey City NJ 07304-2555
Phone: (201) 333-0094
Fax: (201) 333-6538
Website:
Map and Directions
Authorized official contact:
Name: Gibbs, Jonathan C. Doctor of Medicine (MD)
Phone: (201) 333-0094

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X MAO13695 New Jersey

Profile Details

NPI number 1376799932
LBN Legal business name Cag Memorial Health Center
DBA Doing business as
Authorized official Gibbs, Jonathan C. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2008
Last updated Aug 14th, 2008 - about 17 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 1376799932 NPPES
New Jersey Other 01000097700 AMERICHOICE
New Jersey MEDICAID 2684403 AMERICHOICE

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