Provider Demographics
NPI:1275097255
Name:HEALTH CHECK OF NJ LLC
Entity Type:Organization
Organization Name:HEALTH CHECK OF NJ LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ENIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BERBERI
Authorized Official - Suffix:
Authorized Official - Credentials:AO
Authorized Official - Phone:973-997-5233
Mailing Address - Street 1:160 LANZA AVE STE 8
Mailing Address - Street 2:
Mailing Address - City:GARFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07026-3551
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:160 LANZA AVE STE 8
Practice Address - Street 2:
Practice Address - City:GARFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07026-3551
Practice Address - Country:US
Practice Address - Phone:973-864-7845
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-24
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Multi-Specialty
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1184079824OtherMEDICARE