Kaleidoscope Medical Associates, Pa

LBN: Kaleidoscope Medical Associates, Pa
Kaleidoscope Medical Associates, Pa is an health care organization with primary practice located at 410 Coventry Dr , Phillipsburg NJ 08865-1978. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Kaleidoscope Medical Associates, Pa can be contacted via phone (908) 454-9902, or through Gomes, Ana P via phone (908) 454-9902.

Contact Information

Primary practice address
410 Coventry Dr Phillipsburg NJ 08865-1978
Fax: (908) 454-9905
Website:
Authorized official contact:
Name: Gomes, Ana P D.O., CMD

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MB064321 New Jersey
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MB065920 New Jersey
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MB077888000 New Jersey
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA06829400 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NN095449NJ New Jersey

Profile Details

NPI number 1356377105
LBN Legal business name Kaleidoscope Medical Associates, Pa
DBA Doing business as
Authorized official Gomes, Ana P D.O., CMD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2006
Last updated Feb 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356377105 NPPES
New Jersey MEDICAID 7437307
New Jersey MEDICAID 8313407
New Jersey MEDICAID 7387601
New Jersey MEDICAID 0057908
New Jersey Other 119772
New Jersey MEDICAID 8440506
New Jersey Other 041113

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