1285793166 NPI number — AMCARE INC.

Table of content: (NPI 1285793166)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285793166 NPI number — AMCARE INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMCARE INC.
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:
1285793166
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
34 DIVISION ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
JERSEY CITY
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07302-1815
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
201-656-0444
Provider Business Mailing Address Fax Number:
201-656-3233

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
34 DIVISION ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JERSEY CITY
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07302-1815
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-656-0444
Provider Business Practice Location Address Fax Number:
201-656-3233
Provider Enumeration Date:
12/07/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
WILLIAMS
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
E.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
201-656-0444

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  AMCA00660 , 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: 28440 . This is a "UNIVERSITY HEALTH PLANS" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 1021492 . This is a "HORIZON NJ HEALTH" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 2345916 . This is a "AETNA HMO" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 3254500 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 94223 . This is a "AMERIGROUP" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".