Integrated Medicine Alliance Pa
LBN: Integrated Medicine Alliance Pa
Integrated Medicine Alliance Pa is an health care organization with primary practice located at 1026 Broad St Unit 18 , Shrewsbury NJ 07702-4380. 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.
Integrated Medicine Alliance Pa can be contacted via phone (732) 542-0002, or through Thompson, Roger M. via phone (732) 542-0002.
Contact Information
Primary practice address
1026 Broad St Unit 18
Shrewsbury NJ 07702-4380
Phone: (732) 542-0002
Fax: (732) 542-2992
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1649252776 |
|---|---|
| LBN Legal business name | Integrated Medicine Alliance Pa |
| DBA Doing business as | |
| Authorized official | Thompson, Roger M. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Jun 21st, 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 | 1649252776 | NPPES |
| New Jersey | Other | ED3543 | RRMC |
| New Jersey | MEDICAID | 3259501 | RRMC |
| New Jersey | Other | J020393 | RRMC |
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