Portum Private Practice Llc
LBN: Portum Private Practice Llc
Portum Private Practice Llc is an health care organization with primary practice located at 1465 Route 31 S , Annandale NJ 08801-3129. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is the primary health care specialty.
Portum Private Practice Llc can be contacted via phone (732) 614-0994, or through Decker, Jeffrey via phone (732) 614-0994.
Contact Information
Primary practice address
1465 Route 31 S
Annandale NJ 08801-3129
Phone: (732) 614-0994
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | ||
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X |
Profile Details
| NPI number | 1528802568 |
|---|---|
| LBN Legal business name | Portum Private Practice Llc |
| DBA Doing business as | |
| Authorized official | Decker, Jeffrey MHA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 24th, 2024 |
| Last updated | Jun 24th, 2024 - about last year |
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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