Provider Demographics
NPI:1164738068
Name:GEMCARE MEDICAL CENTERS, LLC
Entity Type:Organization
Organization Name:GEMCARE MEDICAL CENTERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HILLEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PELTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:732-922-3800
Mailing Address - Street 1:1750 CEDAR BRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-6921
Mailing Address - Country:US
Mailing Address - Phone:732-922-3800
Mailing Address - Fax:201-812-7709
Practice Address - Street 1:1750 CEDAR BRIDGE AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-6921
Practice Address - Country:US
Practice Address - Phone:732-922-3800
Practice Address - Fax:201-812-7709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-30
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0400337407261QE0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care