Provider Demographics
NPI:1154464931
Name:EASTERN NURSING SERVICES I, INC
Entity Type:Organization
Organization Name:EASTERN NURSING SERVICES I, INC
Other - Org Name:PRIORITY NURSING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:NUZZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-343-6160
Mailing Address - Street 1:286 UNION ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-4203
Mailing Address - Country:US
Mailing Address - Phone:201-343-6160
Mailing Address - Fax:201-343-0825
Practice Address - Street 1:286 UNION ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-4203
Practice Address - Country:US
Practice Address - Phone:201-343-6160
Practice Address - Fax:201-881-0120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0000216251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8314004Medicaid