1720022999 NPI number — CLARO ASPREC M.D.

Table of content: CLARO ASPREC M.D. (NPI 1720022999)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720022999 NPI number — CLARO ASPREC M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ASPREC
Provider First Name:
CLARO
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
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:
1720022999
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/17/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3099 ROUTE 516
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OLD BRIDGE
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08857-2326
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-679-8200
Provider Business Mailing Address Fax Number:
732-679-8201

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3099 ROUTE 516
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OLD BRIDGE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08857-2326
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-679-8200
Provider Business Practice Location Address Fax Number:
732-679-8201
Provider Enumeration Date:
06/16/2006

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: 208000000X , with the licence number:  25MA06092500 , 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: 3K6945 . This is a "HEALTHNET #" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 301150 . This is a "US FAMILY HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1108355 . This is a "GHI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 223442277 . This is a "TAX ID #" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 3730109001 . This is a "AMERIGROUP" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 5079096 . This is a "AETNA HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: P3630269 . This is a "OXFORD #" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 0764925000 . This is a "AMERIHEALTH #" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 23132 . This is a "AMERIGROUP #" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 3730109001 . This is a "AMERIHEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4068580 . This is a "AETNA HMO #" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: HUL000060-02 . This is a "UHC COMMUNITY AND STATE PLAN" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 13374 . This is a "UNIVERSITY HEALTH PLANS #" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 2609945-001 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4K2471 . This is a "HEALTHNET" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5079096 . This is a "AETNA PPO #" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 668X71 . This is a "EMPIRE BC/BS #" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: HUL00006001 . This is a "AMERICHOICE #" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 60016913 . This is a "HORIZON NJ HEALTH #" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 764925000 . This is a "AMERIHEALTH" identifier . This identifiers is of the category "OTHER".




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