1821256470 NPI number — ENDOCRINOLOGY ASSOCIATES OF CENTRAL NEW JERSEY PA

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 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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