R M C N J Pa

LBN: R M C N J Pa
R M C N J Pa is an health care organization with primary practice located at 667 Eagle Rock Ave , West Orange NJ 07052-2177. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Specialist/Technologist, which is considered as the primary health care specialty. R M C N J Pa can be contacted via phone (973) 731-8112, or through Rand, Dov Johanan via phone (973) 731-8112.

Contact Information

Primary practice address
667 Eagle Rock Ave West Orange NJ 07052-2177
Phone: (973) 731-8112
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rand, Dov Johanan
Phone: (973) 731-8112

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Specialist/Technologist 225500000X 25MA05832500 New Jersey

Profile Details

NPI number 1770632879
LBN Legal business name R M C N J Pa
DBA Doing business as
Authorized official Rand, Dov Johanan
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1770632879 NPPES
Other 5444128 AETNA PIN
MEDICAID 6543006 AETNA PIN
Other P2823540 AETNA PIN

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