Jersey Health Clinic

LBN: Jersey Health Clinic
Jersey Health Clinic is an health care organization with primary practice located at 79 Nelson Ave , Jersey City NJ 07307-4006. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Jersey Health Clinic can be contacted via phone (201) 855-1200, or through Hanna, Gamal K via phone (201) 967-8425.

Contact Information

Primary practice address
79 Nelson Ave Jersey City NJ 07307-4006
Phone: (201) 855-1200
Fax: (201) 967-8443
Website:
Map and Directions
Authorized official contact:
Name: Hanna, Gamal K Doctor of Medicine (MD)
Phone: (201) 967-8425

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA05217700 New Jersey

Profile Details

NPI number 1598050452
LBN Legal business name Jersey Health Clinic
DBA Doing business as
Authorized official Hanna, Gamal K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2011
Last updated Jun 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598050452 NPPES
New Jersey MEDICAID 1884808

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