1053375980 NPI number — CITY OF CAPE MAY

Table of content: (NPI 1053375980)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053375980 NPI number — CITY OF CAPE MAY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CITY OF CAPE MAY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1053375980
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/04/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
643 WASHINGTON ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CAPE MAY
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08204-2324
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
609-884-9530
Provider Business Mailing Address Fax Number:
609-884-9516

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
643 WASHINGTON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CAPE MAY
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08204-2324
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-884-9530
Provider Business Practice Location Address Fax Number:
609-884-9516
Provider Enumeration Date:
04/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MACLEOD
Authorized Official First Name:
BRUCE
Authorized Official Middle Name:
Authorized Official Title or Position:
CITY MANAGER
Authorized Official Telephone Number:
609-884-9530

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  CAPE00103 , 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: 3021570 . This is a "KEYSTONE MERCY HEALTH" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 4609701 . This is a "AMERI GROUP NJ" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 4609701 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 12045 . This is a "US HEALTH CARE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 590006586 . This is a "RAILROAD MSDICARE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 608099 . This is a "TRIGON" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: NK3783 . This is a "HEALTH NET" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 0495966000 . This is a "AMERIHEALTH" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: A3136857 . This is a "OXFORD" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".




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