Jesus Alfonso

LBN: Jesus Alfonso
Jesus Alfonso is an health care organization with primary practice located at 7907 Kennedy Blvd , North Bergen NJ 07047-4137. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Jesus Alfonso can be contacted via phone (201) 330-8747, or through Alfonso, Jesus via phone (201) 330-8747.

Contact Information

Primary practice address
7907 Kennedy Blvd North Bergen NJ 07047-4137
Phone: (201) 330-8747
Fax: (201) 330-8947
Website:
Map and Directions
Authorized official contact:
Name: Alfonso, Jesus Doctor of Medicine (MD)
Phone: (201) 330-8747

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA05064100 New Jersey

Profile Details

NPI number 1386824308
LBN Legal business name Jesus Alfonso
DBA Doing business as
Authorized official Alfonso, Jesus Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2007
Last updated Nov 7th, 2007 - about 17 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 1386824308 NPPES
New Jersey MEDICAID JA3410307

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