Senior Healthcare Outreach Program
LBN: Senior Healthcare Outreach Program
Senior Healthcare Outreach Program is an health care organization with primary practice located at 613 Park Ave , East Orange NJ 07017-1905. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty.
Senior Healthcare Outreach Program can be contacted via phone (973) 556-0955, or through Salerno, Alexander G via phone (973) 672-8573.
Contact Information
Primary practice address
613 Park Ave
East Orange NJ 07017-1905
Phone: (973) 556-0955
Fax: (973) 675-0040
Website:
Authorized official contact:
Name: Salerno, Alexander G Doctor of Medicine (MD)
Phone: (973) 672-8573
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | ||
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | New Jersey |
Profile Details
| NPI number | 1588707954 |
|---|---|
| LBN Legal business name | Senior Healthcare Outreach Program |
| DBA Doing business as | |
| Authorized official | Salerno, Alexander G Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Feb 3rd, 2020 - about 5 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 | 1588707954 | NPPES |
| New Jersey | MEDICAID | 0089273 |
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