Vida, Jay Andrew
Vida, Jay Andrew is an individual health care provider with primary practice located at 2125 Rt 88 East , Brick NJ 08724-3152. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Vida, Jay Andrew can be contacted via phone (732) 892-4548.Contact Information
Primary practice address
2125 Rt 88 East
Brick NJ 08724-3152
Phone: (732) 892-4548
Fax: (732) 892-0961
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MB59096 | New Jersey |
Profile Details
| NPI number | 1831195601 |
|---|---|
| LBN Legal business name | Vida, Jay Andrew |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2005 |
| Last updated | Jun 18th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831195601 | NPPES |
| New Jersey | Other | 1212830001 | MEDICARE NSC |
| New Jersey | MEDICAID | 7060602 | MEDICARE NSC |
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