1881779106 NPI number — DR. ABRAHAM SADON DC

Table of content: DR. ABRAHAM SADON DC (NPI 1881779106)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881779106 NPI number — DR. ABRAHAM SADON DC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SADON
Provider First Name:
ABRAHAM
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DC
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881779106
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/24/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
186 COUNTY ROAD 520 STE 1
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MORGANVILLE
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07751-1246
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-972-6010
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
186 COUNTY ROAD 520 STE 1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MORGANVILLE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07751-1246
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-972-6010
Provider Business Practice Location Address Fax Number:
732-972-3862
Provider Enumeration Date:
10/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  38MC00423200 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2336592000 . This is a "AMERIHEALTH" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 4532578 . This is a "AETNA PROVIDER #" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 0805987 . This is a "CIGNA" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: P539636 . This is a "OXFORD PROVIDER #" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 028825600 . This is a "INDIVIDUAL PROVIDER #" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".




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