1821256470 NPI number — ENDOCRINOLOGY ASSOCIATES OF CENTRAL NEW JERSEY PA

Table of content: (NPI 1821256470)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821256470 NPI number — ENDOCRINOLOGY ASSOCIATES OF CENTRAL NEW JERSEY PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ENDOCRINOLOGY ASSOCIATES OF CENTRAL NEW JERSEY PA
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:
1821256470
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/08/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
501 IRON BRIDGE RD
Provider Second Line Business Mailing Address:
SUITE 12
Provider Business Mailing Address City Name:
FREEHOLD
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07728
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-780-0002
Provider Business Mailing Address Fax Number:
732-308-0117

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
501 IRON BRIDGE RD
Provider Second Line Business Practice Location Address:
SUITE 12
Provider Business Practice Location Address City Name:
FREEHOLD
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07728
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-780-0002
Provider Business Practice Location Address Fax Number:
732-308-0117
Provider Enumeration Date:
05/30/2008

Additional Information

Authorized Official

Authorized Official Last Name:
ORDENE
Authorized Official First Name:
KENNETH
Authorized Official Middle Name:
W
Authorized Official Title or Position:
MEDICAL DOCTOR
Authorized Official Telephone Number:
732-780-0002

Provider Taxonomy Codes

  • Taxonomy code: 207RE0101X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 222503110 . This is a "HORIZON ERIC A WININGER MD" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 76A38 . This is a "EMPIRE WELL KENNETH W ORDENE MD" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 091346 . This is a "MEDICARE ERIC A WININGER MD" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 4058855 . This is a "AETNA KENNETH W ORDENE MD" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: P3619198 . This is a "OXFORD ERIC A WININGER MD" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 026098 . This is a "MEDICARE KENNETH W ORDENE MD" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 222503110 . This is a "QUALCARE KENNETH W ORDENE MD" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 222503110 . This is a "QUALCARE ERIC A WININGER MD" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: CK3167 . This is a "MEDICARE RAILROAD" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 7655690 . This is a "AETNA ERIC A WININGER MD" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: VS120 . This is a "OXFORD KENNETH W ORDENE MD" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 222503110 . This is a "HORIZON KENNETH W ORDENE MD" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 1430034 . This is a "CIGNA ERIC A WININGER MD" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 3X760 . This is a "EMPIRE WELL ERIC A WININGER MD" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 6159202 . This is a "CIGNA KENNETH W ORDENE MD" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".




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