1366752735 NPI number — NJA- BETH ACUTE PAIN LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366752735 NPI number — NJA- BETH ACUTE PAIN LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NJA- BETH ACUTE PAIN 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:
1366752735
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/19/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
25B VREELAND ROAD
Provider Second Line Business Mailing Address:
SUITE 110
Provider Business Mailing Address City Name:
FLORHAM PARK
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07932
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
973-660-9334
Provider Business Mailing Address Fax Number:
973-660-9779

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
201 LYONS AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEWARK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07112
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-660-9334
Provider Business Practice Location Address Fax Number:
973-660-9779
Provider Enumeration Date:
10/19/2010

Additional Information

Authorized Official

Authorized Official Last Name:
CABRERA-BONET
Authorized Official First Name:
PEDRO
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR/MANAGING OFFICER
Authorized Official Telephone Number:
973-660-9334

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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