1548612252 NPI number — MRS. BIJAY KUMARI MINHAS LICENSED SOCIAL WORK

Table of content: MRS. BIJAY KUMARI MINHAS LICENSED SOCIAL WORK (NPI 1548612252)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548612252 NPI number — MRS. BIJAY KUMARI MINHAS LICENSED SOCIAL WORK

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MINHAS
Provider First Name:
BIJAY
Provider Middle Name:
KUMARI
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LICENSED SOCIAL WORK
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MINHAS
Provider Other First Name:
BIJAY
Provider Other Middle Name:
KUMARI
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LCSW
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1548612252
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10 BRENTWOOD DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MORRIS PLAINS
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07950-3106
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
973-216-8215
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
349 E NORTHFIELD RD
Provider Second Line Business Practice Location Address:
LOWER LEVEL 5
Provider Business Practice Location Address City Name:
LIVINGSTON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07039-4802
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-251-2874
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/06/2016

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: 104100000X , with the licence number:  44SL05682700 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





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