Edison Medical Nutrition Center

LBN: Edison Medical Nutrition Center
Edison Medical Nutrition Center is an health care organization with primary practice located at 15 S Main St , Edison NJ 08837-3447. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Edison Medical Nutrition Center can be contacted via phone (732) 906-8866, or through Menashe, Richard Barton via phone (732) 906-8866.

Contact Information

Primary practice address
15 S Main St Edison NJ 08837-3447
Phone: (732) 906-8866
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Menashe, Richard Barton Doctor of Osteopathy (DO)
Phone: (732) 906-8866

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X MB046474 New Jersey

Profile Details

NPI number 1528195468
LBN Legal business name Edison Medical Nutrition Center
DBA Doing business as
Authorized official Menashe, Richard Barton Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1528195468 NPPES
New Jersey MEDICAID 047830

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