| Ohana Medical Llc | |
|
1818 E 2nd St Scotch Plains NJ 07076-1751 | |
| (908) 322-2490 | |
| (908) 322-1381 |
| Full Name | Ohana Medical Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1818 E 2nd St, Scotch Plains, New Jersey |
| Authorized Official Name and Position | Darren Chin (OWNER) |
| Authorized Official Contact | 9083222490 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ohana Medical Llc 1818 E 2nd St Scotch Plains NJ 07076-1751 Ph: (908) 322-2490 | Ohana Medical Llc 1818 E 2nd St Scotch Plains NJ 07076-1751 Ph: (908) 322-2490 |
| NPI Number | 1144587361 |
|---|---|
| Provider Enumeration Date | 04/12/2012 |
| Last Update Date | 04/12/2012 |
| Medicare PECOS PAC ID | 8123280518 |
|---|---|
| Medicare Enrollment ID | O20120501000516 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144587361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MA06866200 (New Jersey) | Primary |
| Provider Name | Darren S Chin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417934068 PECOS PAC ID: 2466648852 Enrollment ID: I20101124000635 |
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