Loyal Medical Pc

LBN: Loyal Medical Pc
Loyal Medical Pc is an health care organization with primary practice located at 1000 Edgewood Ln , Fort Lee NJ 07024-4223. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Loyal Medical Pc can be contacted via phone (201) 886-8188, or through Takeshige, Matsuko via phone (201) 886-8818.

Contact Information

Primary practice address
1000 Edgewood Ln Fort Lee NJ 07024-4223
Phone: (201) 886-8188
Fax: (201) 886-8288
Website:
Map and Directions
Authorized official contact:
Name: Takeshige, Matsuko Doctor of Osteopathy (DO)
Phone: (201) 886-8818

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 25MB09434100 New Jersey

Profile Details

NPI number 1366833352
LBN Legal business name Loyal Medical Pc
DBA Doing business as
Authorized official Takeshige, Matsuko Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 11th, 2015
Last updated Jun 22nd, 2015 - about 9 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 1366833352 NPPES
New Jersey MEDICAID 0460931

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