BAYONNE PEDIATRIC THERAPY CENTER LLC (NPI# 1033353438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033353438 |
Entity Type | Organization |
Organization Name | BAYONNE PEDIATRIC THERAPY CENTER LLC |
Practice Address |
252 Broadway Bayonne NJ 07002-2522 |
Practice Telephone | 2014360014 |
Practice Fax Number | 2014360019 |
Mailing Telephone | 2014360014 |
Mailing Fax Number | 2014360019 |
Enumeration Date | 2009-04-29 |
Last Update Date | 2009-04-29 |
Authorized Official Name | DR. KRIS MAMMAS (PRESIDENT) |
Authorized Official Telephone | 2014360014 |
Authorized Official Credential | DVM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 305S00000X | Point of Service | 46TR00070400 | NJ | Managed Care Organizations |
Street Address |
252 BROADWAY |
City | BAYONNE |
State | NJ |
Zip Code | 07002-2522 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346484755 | William Pakos | Occupational Therapist | 252 Broadway, Bayonne, NJ 07002-2522 | 2009-04-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205436029 | Nimitha Kumar | Dentist | 1216 John F Kennedy Blvd W, 2nd Floor, Bayonne, NJ 07002 | 2020-10-30 |
1972114437 | New Jersery Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 18-40 Goldsborough Drive, Bayonne, NJ 07002 | 2020-08-10 |
1134740707 | Paulanto Dental Clinic Corp | Clinic/Center | 189-195 Ave E, Bayonne, NJ 07002 | 2020-05-05 |
1093377152 | Moneeb Arshad Chohan | General Practice | 9 E 29th St, Bayonne, Bayonne, NJ 07002 | 2019-06-28 |
1477113835 | Jay Hwang | Dentist | 1160 John F. Kennedy Blvd, Suite B, Bayonne, NJ 07002 | 2019-06-18 |
1740845932 | Sara Shi | Student in an Organized Health Care Education/Training Program | Bayonne Medical Center, 29 E 29th St, Bayonne, NJ 07002 | 2019-05-03 |
1376003855 | S.akhtar.md.llc | Internal Medicine | 16 East 29th St, Bayonne, NJ 07002 | 2019-03-21 |
1144799701 | Perfect Home Care | Home Health | 473 Broadway Suite 402, Bayonne, NJ 07002 | 2018-11-13 |
1881174688 | Windmill Alliance Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 184 186 Hobart Avenue, Apartment #2, Bayonne, NJ 07002 | 2018-08-21 |
1437642774 | Agape Chen | Student in an Organized Health Care Education/Training Program | 29th Street & Avenue E, Bayonne, NJ 07002 | 2018-06-12 |
Find all providers in zip 07002 |
Taxonomy Code | 305S00000X |
Grouping | Managed Care Organizations |
Classification | Point of Service |
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447505524 | Hotel Trades | Point of Service | 10 Columbus Dr, Bayonne, NJ 07002-4362 | 2012-07-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750902813 | Pine Group LLC | Point of Service | 0-39 Pine Ave, Fair Lawn, NJ 07410 | 2020-04-29 |
1851922579 | Emmanuel Fequiere Larose | Point of Service | 173 Norman Rd, Newark, NJ 07106-3309 | 2020-01-31 |
1487119905 | Tripoint Medical Care | Point of Service | 680 Broadway Ste 506, Paterson, NJ 07514-1530 | 2019-02-08 |
1740776301 | Victoria Vanzetta | Point of Service | 22 Crag Pl, Ringwood, NJ 07456-1814 | 2018-07-07 |
1316486053 | Penny M Beil | Point of Service | 371 N Beverwyck Rd, Parsippany, NJ 07054-1537 | 2017-02-14 |
1184166373 | Saunders Music Studio, LLC | Point of Service | 214 Maxwell Ave, Hightstown, NJ 08520-3229 | 2016-11-06 |
1437600574 | Ferry St Chiropractic and Physical Therapy | Point of Service | 236 Ferry St, Newark, NJ 07105-5401 | 2016-10-24 |
1386192706 | Bai Li Medical Health Center | Point of Service | 171 Ridgedale Ave., Ste. 1f, Florham Park, NJ 07932 | 2016-09-14 |
1053868513 | Feroza Hossain, Inc | Point of Service | 256 Bunn Drive, Suite 3a, Princeton, NJ 08540 | 2016-09-01 |
1801340567 | Independence: A Family of Services, Inc. | Point of Service | 15 Smalley Ter, Irvington, NJ 07111-3808 | 2016-08-11 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.