Central Jersey Medical Center, Inc. | |
80 Johnson Ave Newark NJ 07108-2729 | |
(973) 623-8592 | |
Not Available |
Full Name | Central Jersey Medical Center, Inc. |
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Speciality | Clinic/Center |
Location | 80 Johnson Ave, Newark, New Jersey |
Authorized Official Name and Position | Jack O'leary (CEO) |
Authorized Official Contact | 7323769333 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Central Jersey Medical Center, Inc. Po Box 1220 Perth Amboy NJ 08862-1220 Ph: (732) 376-6635 | Central Jersey Medical Center, Inc. 80 Johnson Ave Newark NJ 07108-2729 Ph: (973) 623-8592 |
NPI Number | 1710199468 |
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Provider Enumeration Date | 05/04/2007 |
Last Update Date | 01/27/2023 |
Medicare PECOS PAC ID | 1456301241 |
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Medicare Enrollment ID | O20140616001292 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710199468 | NPI | - | NPPES |
0097918 | Medicaid | NJ | |
0751103 | Medicaid | NJ | |
0115045 | Medicaid | NJ | |
8932603 | Medicaid | NJ | |
8462500 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 23975 (New Jersey) | Primary |
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