1538643580 NPI number — NEW CELL CENTERS

Table of content: (NPI 1538643580)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538643580 NPI number — NEW CELL CENTERS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW CELL CENTERS
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:
NEW CELL CENTERS
Provider Other Organization Name Type Code:
4
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:
1538643580
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/30/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
71 MONTROSE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
COLTS NECK
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07722-1641
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-546-8114
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
780 NJ-37
Provider Second Line Business Practice Location Address:
#330
Provider Business Practice Location Address City Name:
TOMS RIVER
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08755
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-780-2355
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/16/2018

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
CUBINA
Authorized Official First Name:
MARIA
Authorized Official Middle Name:
L
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
732-546-8114

Provider Taxonomy Codes

  • Taxonomy code: 261QM1300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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