Pjs Professional Nurse Practitioner In Adult Health Pllc
LBN: Pjs Professional Nurse Practitioner In Adult Health Pllc
Pjs Professional Nurse Practitioner In Adult Health Pllc is an health care organization with primary practice located at 22 Mississippi Ave , Port Jefferson Station NY 11776-3012. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty.
Pjs Professional Nurse Practitioner In Adult Health Pllc can be contacted via phone (631) 790-1239, or through Ehrman, Luis J via phone (631) 790-1239.
Contact Information
Primary practice address
22 Mississippi Ave
Port Jefferson Station NY 11776-3012
Phone: (631) 790-1239
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 304949 | New York |
Profile Details
| NPI number | 1265863245 |
|---|---|
| LBN Legal business name | Pjs Professional Nurse Practitioner In Adult Health Pllc |
| DBA Doing business as | |
| Authorized official | Ehrman, Luis J ANP-C |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 2nd, 2013 |
| Last updated | Dec 2nd, 2013 - about 12 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 | 1265863245 | NPPES |
| New York | MEDICAID | 03075505 |
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