Cathedral Physician Group, Pc
LBN: Cathedral Physician Group, Pc
Cathedral Physician Group, Pc is an health care organization with primary practice located at 1160 Raymond Blvd 8Th Floor - Physician Services, Newark NJ 07102-4168. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Cathedral Physician Group, Pc can be contacted via phone (973) 491-2958, or through Bendezu, Luis via phone (973) 877-5188.
Contact Information
Primary practice address
1160 Raymond Blvd 8Th Floor - Physician Services
Newark NJ 07102-4168
Phone: (973) 491-2958
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1780884031 |
|---|---|
| LBN Legal business name | Cathedral Physician Group, Pc |
| DBA Doing business as | |
| Authorized official | Bendezu, Luis Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 24th, 2007 |
| Last updated | Jul 24th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780884031 | NPPES |
| New Jersey | MEDICAID | PENDING |
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