1770131997 NPI number — SPIRICARE OF NEW JERSEY INC.

Table of content: (NPI 1770131997)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770131997 NPI number — SPIRICARE OF NEW JERSEY INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SPIRICARE OF NEW JERSEY INC.
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:
1770131997
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/30/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3 MANHATTAN DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BURLINGTON
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08016-4119
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
609-386-7191
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
459 PASSAIC AVE APT 270
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WEST CALDWELL
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07006-7463
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
373-276-6700
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/30/2019

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
CRIPPS
Authorized Official First Name:
JENNIFER
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF FINANCIAL OFFICER
Authorized Official Telephone Number:
609-699-4131

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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