Provider Demographics
NPI:1417514662
Name:CAREPOINT HEALTH- BAYONNE MEDICAL CENTER
Entity Type:Organization
Organization Name:CAREPOINT HEALTH- BAYONNE MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:IM RESIDENCY COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:CUTOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-858-6594
Mailing Address - Street 1:527 OLD BRIDGE TPKE UNIT 3231
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-1938
Mailing Address - Country:US
Mailing Address - Phone:732-331-0101
Mailing Address - Fax:
Practice Address - Street 1:29 E 29TH ST
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-4654
Practice Address - Country:US
Practice Address - Phone:201-858-5000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-23
Last Update Date:2019-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty