Provider Demographics
NPI:1215364773
Name:JOURNEY PALLIATIVE CARE AND TRANSITIONS
Entity Type:Organization
Organization Name:JOURNEY PALLIATIVE CARE AND TRANSITIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:ANALOVITCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-321-8699
Mailing Address - Street 1:230 E RIDGEWOOD AVE # 307
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-4142
Mailing Address - Country:US
Mailing Address - Phone:201-967-4625
Mailing Address - Fax:201-225-4769
Practice Address - Street 1:230 E RIDGEWOOD AVE # 307
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-4142
Practice Address - Country:US
Practice Address - Phone:201-967-4625
Practice Address - Fax:201-225-4769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-30
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8608709Medicaid
NJ311549Medicare Oscar/Certification