Provider Demographics
NPI:1215557954
Name:NJ BIRTH CENTER LLC
Entity Type:Organization
Organization Name:NJ BIRTH CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:BILDNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-981-0248
Mailing Address - Street 1:163 CARLTON TER
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-4618
Mailing Address - Country:US
Mailing Address - Phone:973-981-0248
Mailing Address - Fax:
Practice Address - Street 1:163 CARLTON TER
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-4618
Practice Address - Country:US
Practice Address - Phone:973-981-0248
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-23
Last Update Date:2021-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing