Island Medical Associates,Pa
LBN: Island Medical Associates,Pa
Island Medical Associates,Pa is an health care organization with primary practice located at 2626 Tilton Rd , Egg Harbor Twp NJ 08234-1829. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is the primary health care specialty.
Island Medical Associates,Pa can be contacted via phone (609) 568-5000, or through Kuponiyi, Peter O via phone (609) 568-5000.
Contact Information
Primary practice address
2626 Tilton Rd
Egg Harbor Twp NJ 08234-1829
Phone: (609) 568-5000
Fax: (609) 568-5015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | 25MA05948800 | New Jersey |
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 25MA04695100 | New Jersey |
Profile Details
| NPI number | 1740292119 |
|---|---|
| LBN Legal business name | Island Medical Associates,Pa |
| DBA Doing business as | |
| Authorized official | Kuponiyi, Peter O Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Mar 8th, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740292119 | NPPES |
| New Jersey | MEDICAID | 0042102 |
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