NJ MED PA (NPI# 1225439037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225439037 |
| Entity Type | Organization |
| Organization Name | NJ MED PA |
| Practice Address |
240 Williamson St Suite 204 Elizabeth NJ 07202-3674 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 9083558877 |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2014-09-11 |
| Authorized Official Name | KENNY HEINE (VP OF OPERATIONS) |
| Authorized Official Telephone | 8589641506 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 25MA05507700 | NJ | Suppliers |
| Street Address |
240 WILLIAMSON ST SUITE 204 |
| City | ELIZABETH |
| State | NJ |
| Zip Code | 07202-3674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487651113 | Jose Cruz Chua Jr. | Internal Medicine | 240 Williamson St, Suite 203, Elizabeth, NJ 07202-3674 | 2005-07-07 |
| 1629613021 | Elina Eksarko-bilbili | Internal Medicine | 240 Williamson St, Elizabeth, NJ 07202-3674 | 2019-11-10 |
| 1588221618 | Mary Beth Adams-toms | Nurse Practitioner | 240 Williamson St, Elizabeth, NJ 07202-3674 | 2019-05-23 |
| 1760997761 | Magdalena Pacanski | Nurse Practitioner | 240 Williamson St, Elizabeth, NJ 07202-3674 | 2017-12-12 |
| 1588048557 | Bridget Desmarais | Physician Assistant | 240 Williamson St, Suite 204, Elizabeth, NJ 07202-3674 | 2015-07-19 |
| 1033503560 | Swati B Patel | Physician Assistant | 240 Williamson St, Suite 204, Elizabeth, NJ 07202-3674 | 2015-03-23 |
| 1760817415 | Siddhipriya Inc | Pharmacy | 240 Williamson St, Suite # 101, Elizabeth, NJ 07202-3674 | 2013-09-12 |
| 1194162578 | Shellie Auguste | Podiatrist | 240 Williamson St, Suite 200, Elizabeth, NJ 07202-3674 | 2013-05-27 |
| 1154764595 | Premiere Nephrology and Hypertension LLC | Specialist | 240 Williamson St, Suite 405, Elizabeth, NJ 07202-3674 | 2013-04-16 |
| 1427333426 | Arnaldo Jimenez,md PC | Specialist | 240 Williamson St, Suite 401, Elizabeth, NJ 07202-3674 | 2011-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205446572 | Hardik Ashwinkumar Fichadiya | Student in an Organized Health Care Education/Training Program | Trinitas Regional Medical Center, 225 Williamson St, Elizabeth, NJ 07202 | 2020-08-03 |
| 1659935484 | Community Access Unlimited Inc. | Community/Behavioral Health | 349 West Grand Street, Apartment 303, Elizabeth, NJ 07202 | 2019-04-26 |
| 1891279071 | Noreen Sidhom | Physical Therapist | 59-63 Elmora Avenue, Elizabeth, NJ 07202 | 2018-09-24 |
| 1578082889 | Jannette L Belen | Marriage & Family Therapist | 1102 South Elmora Ave, Elizabeth, NJ 07202 | 2017-09-18 |
| 1679000921 | Jefferson Park Ministries, Inc | Day Training, Developmentally Disabled Services | 70 West Grand St, Elizabeth, NJ 07202 | 2017-05-17 |
| 1912382557 | Community Access Unlimited | Community/Behavioral Health | 414 Magie Ave, Elizabeth, NJ 07202 | 2015-07-24 |
| 1538587845 | Remigiusz Soltys | Internal Medicine | 225 Williamson St., Trinitas Physician's Practice, LLC, Elizabeth, NJ 07202 | 2014-04-03 |
| 1447674270 | One Stop Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 216 Palmer St., Elizabeth, NJ 07202 | 2014-02-14 |
| 1306274337 | South Filmora Optical LLC | Eyewear Supplier (Equipment, not the service) | 1000 South Filmora Ave., Suite E2, Elizabeth, NJ 07202 | 2013-10-30 |
| 1881021129 | Julie Allison Sorrell | Social Worker | 80 West Grand Street, Elizabeth, NJ 07202 | 2013-10-01 |
| Find all providers in zip 07202 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750791570 | Union County Healthcare Associates LLC | Non-Pharmacy Dispensing Site | 400 Westfield Ave, Elizabeth, NJ 07208-1621 | 2014-05-01 |
| 1891105888 | Union County Healthcare Associates LLC | Non-Pharmacy Dispensing Site | 310 W Jersey St, Elizabeth, NJ 07202-1832 | 2014-04-30 |
| 1952629511 | Upmc Community Medicine Inc | Non-Pharmacy Dispensing Site | 300 Scenery Dr, Elizabeth, PA 15037-2068 | 2010-05-06 |
| 1508930561 | Planned Parenthood of Northern, Central, and Southern New Jersey, Inc. | Non-Pharmacy Dispensing Site | 1171 Elizabeth Ave, Elizabeth, NJ 07201 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346716834 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 3830 Atlantic Avenue, Atlantic City, NJ 08401 | 2018-10-23 |
| 1942787981 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 63 Route 70 E, Evesham, NJ 08053-1749 | 2018-07-23 |
| 1750881082 | Qpharma Inc | Non-Pharmacy Dispensing Site | 1613 Route 47, Rio Grande, NJ 08242-1411 | 2018-02-13 |
| 1588187439 | Advanced Feet and Ankle Care | Non-Pharmacy Dispensing Site | 2477 County Rd 516, Old Bridge, NJ 08857-4603 | 2017-07-24 |
| 1275054967 | Nj Pain Care Specialists | Non-Pharmacy Dispensing Site | 1806 Route 35 Ste 305, Oakhurst, NJ 07755-2764 | 2017-07-03 |
| 1053855601 | Edward Magaziner, Md | Non-Pharmacy Dispensing Site | 2186 New Jersey 27, North Brunswick, NJ 08902 | 2016-12-15 |
| 1457701088 | Medical Art Center | Non-Pharmacy Dispensing Site | 950 State Route 35, Middletown, NJ 07748-2603 | 2016-06-14 |
| 1285080507 | Jersey Shore Sports Medicine, LLC | Non-Pharmacy Dispensing Site | 801 A Central Ave, Ocean City, NJ 08226 | 2016-05-05 |
| 1326493040 | Caligor Opco LLC | Non-Pharmacy Dispensing Site | 801 Penhorn Ave, Unit #4, Secaucus, NJ 07094-2150 | 2016-05-02 |
| 1972957660 | Atlanticare Physician Group Pa | Non-Pharmacy Dispensing Site | 1310 Blackwood Clementon Rd, Clementon, NJ 08021-5610 | 2016-04-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NJ MED PA.
| 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.