East 29Th St Medical Associates, P.C.

LBN: East 29Th St Medical Associates, P.C.
East 29Th St Medical Associates, P.C. is an health care organization with primary practice located at 542 E 29Th Street , Paterson NJ 07504-1814. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. East 29Th St Medical Associates, P.C. can be contacted via phone (201) 281-8691, or through Samuel, Shelly D via phone (201) 281-8692.

Contact Information

Primary practice address
542 E 29Th Street Paterson NJ 07504-1814
Phone: (201) 281-8691
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Samuel, Shelly D Doctor of Medicine (MD)
Phone: (201) 281-8692

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MA71838 New Jersey

Profile Details

NPI number 1740315225
LBN Legal business name East 29Th St Medical Associates, P.C.
DBA Doing business as
Authorized official Samuel, Shelly D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2007
Last updated Mar 24th, 2011 - about 13 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 1740315225 NPPES
New Jersey MEDICAID 8598703

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