Integrative Functional Medicine Associates Llc

LBN: Integrative Functional Medicine Associates Llc
Integrative Functional Medicine Associates Llc is an health care organization with primary practice located at 292 Bloomfield Ave 2Nd Floor, Montclair NJ 07042-3624. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine, which is considered as the primary health care specialty. Integrative Functional Medicine Associates Llc can be contacted via phone (973) 928-8909, or through Thomas, Jodi via phone (201) 967-8425.

Contact Information

Primary practice address
292 Bloomfield Ave 2Nd Floor Montclair NJ 07042-3624
Phone: (973) 928-8909
Fax: (201) 967-8425
Website:
Map and Directions
Authorized official contact:
Name: Thomas, Jodi
Phone: (201) 967-8425

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine 2081P0004X 25MA07295900 New Jersey

Profile Details

NPI number 1063739829
LBN Legal business name Integrative Functional Medicine Associates Llc
DBA Doing business as
Authorized official Thomas, Jodi
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2010
Last updated May 3rd, 2010 - about 14 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 1063739829 NPPES
New Jersey MEDICAID 005466

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