1134252810 NPI number — NJCPX LLC

Table of content: VIRGINIA ALICE MADDEN MSW (NPI 1316656234)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134252810 NPI number — NJCPX LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NJCPX LLC
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:
1134252810
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/30/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14 SNOWHILL ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SPOTSWOOD
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08884-1358
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-690-5846
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14 SNOWHILL ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SPOTSWOOD
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08884-1358
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-690-5846
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/13/2007

Additional Information

Authorized Official

Authorized Official Last Name:
HUSAR
Authorized Official First Name:
WALTER
Authorized Official Middle Name:
GENE
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
732-690-5846

Provider Taxonomy Codes

  • Taxonomy code: 2084N0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 2592249 . This is a "GHI PROVIDER NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7267536 . This is a "AETNA PROVIDER NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3549743 . This is a "AETNA HMO PROVIDER NUMBER" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com