Carebridge Medical Group Nj Pc
LBN: Carebridge Medical Group Nj Pc
Carebridge Medical Group Nj Pc is an health care organization with primary practice located at 101 Hudson St Fl 21 , Jersey City NJ 07302-3929. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Carebridge Medical Group Nj Pc can be contacted via phone (615) 436-9060, or through Henderson, Melinda S via phone (615) 436-9060.
Contact Information
Primary practice address
101 Hudson St Fl 21
Jersey City NJ 07302-3929
Phone: (615) 436-9060
Fax:
Website:
Authorized official contact:
Name: Henderson, Melinda S Doctor of Medicine (MD)
Phone: (615) 436-9060
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
NPI number | 1386412203 |
---|---|
LBN Legal business name | Carebridge Medical Group Nj Pc |
DBA Doing business as | |
Authorized official | Henderson, Melinda S Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Dec 20th, 2023 |
Last updated | May 1st, 2024 - about 6 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386412203 | NPPES |
New Jersey | MEDICAID | 0889814 |
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