PERTH AMBOY HEALTH CARE L.L.C. (NPI# 1427092675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427092675 |
| Entity Type | Organization |
| Organization Name | PERTH AMBOY HEALTH CARE L.L.C. |
| Practice Address |
607 Amboy Avenue Perth Amboy NJ 08861-2595 |
| Practice Telephone | 7324425444 |
| Practice Fax Number | 7324422626 |
| Mailing Telephone | 7324425444 |
| Mailing Fax Number | 7324422626 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2019-09-18 |
| Authorized Official Name | PAULETTE CLAY (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7324425444 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0206X |
Clinic/Center Specialization: Radiology, Mammography |
22620 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8180202 | 05 |
| Street Address |
607 AMBOY AVENUE |
| City | PERTH AMBOY |
| State | NJ |
| Zip Code | 08861-2595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356961056 | Elahe Marandi | Student in an Organized Health Care Education/Training Program | 530 Brunswick Avenue, Perth Amboy, NJ 08861 | 2020-04-22 |
| 1942770193 | Bensen Larose | Physical Therapy Assistant | 10 Harbor Terrace Apt 3k, Perth Amboy, NJ 08861 | 2018-11-30 |
| 1679098578 | Elizabeth Hernandez | Social Worker | 109 Broad St., Perth Amboy, NJ 08861 | 2017-08-11 |
| 1114463577 | Iryna Gutsulyak | Behavioral Analyst | 768 Central Place, Perth Amboy, NJ 08861 | 2017-01-10 |
| 1821544552 | Demi Marie Mendez | Specialist/Technologist | 147 Market Street 2nd Floor, Perth Amboy, NJ 08861 | 2016-09-01 |
| 1174987325 | Mc Laney Moise | Social Worker | 597 Harbortown Blvd Bldg 43, Perth Amboy, NJ 08861 | 2016-04-13 |
| 1326477027 | Passion Care Center | Clinic/Center | 187 Fayette Street, Perth Amboy, NJ 08861 | 2013-11-04 |
| 1609201813 | Payal Patel | Physical Therapist | 553 Sayre Ave Ste 104, Perth Amboy, NJ 08861 | 2013-09-06 |
| 1750628301 | Opticare Physical Therapy, LLP | Physical Therapist | 155 New Brunswick Avenue, Perth Amboy, NJ 08861 | 2013-01-15 |
| 1467701094 | Monica Medina | Social Worker | 271 Smith Street, Perth Amboy, NJ 08861 | 2012-08-29 |
| Find all providers in zip 08861 | ||||
| Taxonomy Code | 261QR0206X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mammography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861969388 | Garden State Diagnostic Imaging | Clinic/Center | 6 Earlin Avenue, 160, Brown Mills, NJ 08015 | 2018-11-02 |
| 1710350798 | Hudson River Radiology Center LLC | Clinic/Center | 120 48th St # 152, Union City, NJ 07087-6439 | 2015-11-12 |
| 1760764898 | Inspira Medical Centers, Inc. | Clinic/Center | 201 Tomlin Station Road, Suite A, Mullica Hill, NJ 08062 | 2011-09-14 |
| 1437221538 | Diagnostic Imaging of Clifton, P.a. | Clinic/Center | 1115 Clifton Ave, Clifton, NJ 07013-3641 | 2006-11-14 |
| 1336136662 | Radiology Associates of Ridgewood, Pa | Clinic/Center | 20 Franklin Tpke, Waldwick, NJ 07463-1749 | 2005-10-03 |
| 1003271123 | Hunterdon Radiological Associates, P.a. | Clinic/Center | 121 Route 31, Flemington, NJ 08822-5744 | 2015-12-16 |
| 1124303987 | The Breast Center At Journal Square, LLC | Clinic/Center | 550 Newark Ave, Second Floor, Jersey City, NJ 07306-1326 | 2011-10-12 |
| 1104069350 | South Jersey Hospital Inc | Clinic/Center | 8 N White Horse Pike, Hammonton, NJ 08037-1873 | 2009-04-16 |
| 1235375643 | In Her Image- West Caldwell, LLC | Clinic/Center | 555 Passaic Ave, West Caldwell, NJ 07006-7475 | 2009-01-07 |
| 1770735177 | Brick Xray LLC | Clinic/Center | 1608 Route 88 W, Suite 102, Brick, NJ 08724-3009 | 2008-10-16 |
| Find all providers with the same taxonomy | ||||
| City | PERTH AMBOY |
| Zip Code | 08861 |
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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.