Gaviota Clinic

LBN: Spring Spa Depot Corporation
Gaviota Clinic is an health care organization with primary practice located at 123 Clifford St , Newark NJ 07105-1950. The organization recently has 5 registered licenses in different health care specialties including Hospital Units / Rehabilitation Unit, Laboratories / Clinical Medical Laboratory, Managed Care Organizations / Exclusive Provider Organization, Suppliers / Durable Medical Equipment & Medical Supplies, Transportation Services / Private Vehicle. Hospital Units / Rehabilitation Unit is the primary health care specialty. Spring Spa Depot Corporation can be contacted via phone (973) 388-3258, or through Silega, Garis L via phone (973) 388-3258.

Contact Information

Primary practice address
123 Clifford St Newark NJ 07105-1950
Phone: (973) 388-3258
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Silega, Garis L Doctor of Medicine (MD)
Phone: (973) 388-3258

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Rehabilitation Unit 273Y00000X
Laboratories / Clinical Medical Laboratory 291U00000X
Managed Care Organizations / Exclusive Provider Organization 302F00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Transportation Services / Private Vehicle 347C00000X

Profile Details

NPI number 1699066225
LBN Legal business name Spring Spa Depot Corporation
DBA Doing business as Gaviota Clinic
Authorized official Silega, Garis L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 2011
Last updated Apr 30th, 2011 - about 13 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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