J C Digiacomo, Md., Llc
LBN: J C Digiacomo, Md., Llc
J C Digiacomo, Md., Llc is an health care organization with primary practice located at 900 W Main St Suite 4, Freehold NJ 07728-2523. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
J C Digiacomo, Md., Llc can be contacted via phone (732) 303-9584, or through Digiacomo, Jody C via phone (732) 683-0888.
Contact Information
Primary practice address
900 W Main St Suite 4
Freehold NJ 07728-2523
Phone: (732) 303-9584
Fax: (732) 294-1940
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 25MA05397100 | New Mexico |
Profile Details
| NPI number | 1104047901 |
|---|---|
| LBN Legal business name | J C Digiacomo, Md., Llc |
| DBA Doing business as | |
| Authorized official | Digiacomo, Jody C Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 1st, 2007 |
| Last updated | Jun 6th, 2008 - about 16 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 | 1104047901 | NPPES |
| New Jersey | MEDICAID | 5164001 |
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