Medi-Home Medical Of New Jersey

LBN: Medi-Home Medical Of New Jersey
Medi-Home Medical Of New Jersey is an health care organization with primary practice located at 137 High St , Mount Holly NJ 08060-1420. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. Medi-Home Medical Of New Jersey can be contacted via phone (609) 447-3442, or through Friedman, Samuel via phone (609) 447-3442.

Contact Information

Primary practice address
137 High St Mount Holly NJ 08060-1420
Fax: (609) 447-3443
Website:
Authorized official contact:
Name: Friedman, Samuel Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X New Jersey

Profile Details

NPI number 1962830257
LBN Legal business name Medi-Home Medical Of New Jersey
DBA Doing business as
Authorized official Friedman, Samuel Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2013
Last updated Jan 30th, 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 1962830257 NPPES
New Jersey Other 338604 MEDICARE PTAN
New Jersey MEDICAID 0406317 MEDICARE PTAN

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