347 LYONS AVENUE MEDICAL CENTER LLC (NPI# 1386829778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386829778 |
| Entity Type | Organization |
| Organization Name | 347 LYONS AVENUE MEDICAL CENTER LLC |
| Practice Address |
347 Lyons Ave Newark NJ 07112-1440 |
| Mailing Address |
62 Williamson Ave Hillside NJ 07205-1606 |
| Practice Telephone | 9739235771 |
| Practice Fax Number | 9739230532 |
| Mailing Telephone | 9739235771 |
| Mailing Fax Number | 9739230532 |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-01-03 |
| Authorized Official Name | IRVIN MUSE (OWNER) |
| Authorized Official Telephone | 9739235771 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | Other Service Providers |
| Street Address |
347 LYONS AVE |
| City | NEWARK |
| State | NJ |
| Zip Code | 07112-1440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129680 | Kimberly Sjockeia Smith-jones | Massage Therapist | 590 Irvine Turner Blvd, Newark, NJ 07112 | 2020-09-18 |
| 1346880325 | Latifat Olabisi Bamgbose | Licensed Practical Nurse | 233 Lehigh Avenue, #3, Newark, NJ 07112 | 2020-01-08 |
| 1316588122 | Leila Renee Grubbs | Counselor | 140 Chancellor Avenue, 1b, Newark, NJ 07112 | 2019-10-02 |
| 1891347225 | Obeng Pharmacy LLC | Pharmacy | 431-433 Elizabeth Avenue, Newark, NJ 07112 | 2019-07-16 |
| 1124595723 | Patience Marks | Nurse Practitioner | 15 Shaw Avenue, Newark, NJ 07112 | 2018-11-01 |
| 1215425145 | Johnbosco Okpala | Student in an Organized Health Care Education/Training Program | Nbimc 201 Lyons Ave, Newark, NJ 07112 | 2018-04-26 |
| 1700383809 | Big Sam's Services LLC | Home Health | 349 Hawthorne Avenue, Newark, NJ 07112 | 2018-04-06 |
| 1780117325 | Vivien Wai Tung Ku | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark Beth Israel Medical Center, Department of Dentistry, Newark, NJ 07112 | 2017-04-11 |
| 1265839922 | Bhavinkumar Shah | Pharmacist | 178-180 Lyons Ave, Newark, NJ 07112 | 2014-11-24 |
| 1629377445 | Isaac Abiola Popoola | Registered Nurse | 357 Schley Aptb4, Newark, NJ 07112 | 2011-03-18 |
| Find all providers in zip 07112 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588719587 | Joseph L Mosquera | Legal Medicine | 137 Prospect St, Newark, NJ 07105-1712 | 2007-01-23 |
| 1770893091 | Roseville Medical Group Pa | Legal Medicine | 346 Roseville Ave, Newark, NJ 07107-1722 | 2010-10-20 |
| 1407043342 | Samaritan Medical | Legal Medicine | 508 S Orange Ave, Newark, NJ 07103-1338 | 2007-09-25 |
| 1215078761 | Joseph L Mosquera Md PC | Legal Medicine | 137 Prospect St, Newark, NJ 07105-1712 | 2007-02-09 |
| 1518012525 | Healthfirst Associates LLC | Legal Medicine | 137 Prospect St, Newark, NJ 07105-1712 | 2007-01-23 |
| 1255482022 | Paul J Arias | Legal Medicine | 390 New York Ave, Newark, NJ 07105-3125 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801224811 | Mdusa | Legal Medicine | 244 Broad Ave, 2nd Floor, Palisades Park, NJ 07650-1552 | 2013-10-29 |
| 1245539261 | Ronald Victor Suarez | Legal Medicine | 27 Britten Rd, Green Village, NJ 07935-3001 | 2011-03-16 |
| 1366760373 | Stacey Melissa Blackman | Legal Medicine | 9 Wayne Ave, East Orange, NJ 07018 | 2010-05-14 |
| 1427296771 | Martin Clay Lewis | Legal Medicine | 47 Van Lieus Rd, Ringoes, NJ 08551-1314 | 2009-01-24 |
| 1043432925 | Mark James Bartiss | Legal Medicine | 24 Nautilus Dr Ste 5, Manahawkin, NJ 08050-2490 | 2007-05-02 |
| 1891829305 | A Better Choice | Legal Medicine | 108 Garnett Ln, Egg Harbor Township, NJ 08234-5959 | 2007-03-15 |
| 1629117239 | Jay B Bosniak Md Pa | Legal Medicine | 143 Pavilion Ave, Long Branch, NJ 07740-6415 | 2007-02-06 |
| 1881732162 | Genitourinary Surgeons of New Jersey Pa | Legal Medicine | 211 Courtyard Dr, Hillsborough, NJ 08844-4247 | 2007-02-01 |
| 1285771816 | Apollo Medical Associates, P.C. | Legal Medicine | 148 Parsippany Rd, Apollo Medical Center, Parsippany, NJ 07054 | 2007-01-31 |
| 1346315363 | Pat Dunphy Pt LLC | Legal Medicine | 12 Tindall Rd, Middletown, NJ 07748-2722 | 2006-11-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on 347 LYONS AVENUE MEDICAL CENTER LLC.
| 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.