TIMOTHY MOMAH


Address: 536 W Lake Ave, Rahway, NJ 07065-2537
Phone: 8484679311

TIMOTHY MOMAH (NPI# 1558738898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558738898
Entity Type Individual
Full Name TIMOTHY MOMAH
Credential MT
Practice Address 536 W Lake Ave
Rahway
NJ 07065-2537
Practice Telephone 8484679311
Mailing Telephone 8484679311
Enumeration Date 2015-08-21
Last Update Date 2015-08-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246QM0706X Spec/Tech, Pathology
Specialization: Medical Technologist
015075-1 NY Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 536 W LAKE AVE
City RAHWAY
State NJ
Zip Code 07065-2537

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1356777213 Kimberly L Bryant Physical Therapist 867saint George Ave, Unit 3, Rahway, NJ 07065 2013-09-23
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Taxonomy Information

Taxonomy Code 246QM0706X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Spec/Tech, Pathology
Specialization Medical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801497433 Mitchell Dizon Spec/Tech, Pathology 1019 Columbus Ave, Westfield, NJ 07090-1619 2020-11-02
1316335409 Amr A El Ellae Spec/Tech, Pathology 310 Woodstown Road, Salem, NJ 08079-2080 2014-12-26
1497897490 Sarah Catherine Reid Spec/Tech, Pathology 1 Munro Ave, Cape May, NJ 08204-5000 2007-02-13

Competitor

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City RAHWAY
Zip Code 07065

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Dataset Information

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.

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