North Jersey Primary Care & Sports Medicine Institute Llc
LBN: North Jersey Primary Care & Sports Medicine Institute Llc
North Jersey Primary Care & Sports Medicine Institute Llc is an health care organization with primary practice located at 6 Brighton Road Suite 101, Clifton NJ 07012-1647. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty.
North Jersey Primary Care & Sports Medicine Institute Llc can be contacted via phone (973) 340-1940, or through Russonella, Michael C via phone (973) 340-1940.
Contact Information
Primary practice address
6 Brighton Road Suite 101
Clifton NJ 07012-1647
Phone: (973) 340-1940
Fax: (973) 340-1958
Website:
Authorized official contact:
Name: Russonella, Michael C Doctor of Osteopathy (DO)
Phone: (973) 340-1940
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X | 25MA08676900 | New Jersey |
Profile Details
| NPI number | 1962772483 |
|---|---|
| LBN Legal business name | North Jersey Primary Care & Sports Medicine Institute Llc |
| DBA Doing business as | |
| Authorized official | Russonella, Michael C Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 2nd, 2012 |
| Last updated | Apr 4th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962772483 | NPPES |
| New Jersey | Other | 224841YAT3 | MEDICARE PTAN |
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