Forest Hill Family Health Associates P A
LBN: Forest Hill Family Health Associates P A
Forest Hill Family Health Associates P A is an health care organization with primary practice located at 465 Mt. Prospect Avenue , Newark NJ 07104. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Forest Hill Family Health Associates P A can be contacted via phone (973) 483-3640, or through Ortiz, Thomas R via phone (973) 485-6242.
Contact Information
Primary practice address
465 Mt. Prospect Avenue
Newark NJ 07104
Phone: (973) 483-3640
Fax: (973) 483-0132
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X |
Profile Details
| NPI number | 1134292360 |
|---|---|
| LBN Legal business name | Forest Hill Family Health Associates P A |
| DBA Doing business as | |
| Authorized official | Ortiz, Thomas R Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 16th, 2006 |
| Last updated | Apr 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134292360 | NPPES |
| New Jersey | Other | 1259202 | MEDICAID INDIVIDUAL PROVIDER |
| New Jersey | MEDICAID | 3145107 | MEDICAID INDIVIDUAL PROVIDER |
| New Jersey | Other | 033691BXB | MEDICAID INDIVIDUAL PROVIDER |
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