Provider Demographics
NPI:1467642074
Name:JAPANESE AMERICAN MEDICAL CENTER
Entity Type:Organization
Organization Name:JAPANESE AMERICAN MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RITZ
Authorized Official - Middle Name:K
Authorized Official - Last Name:KANEOKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-236-8300
Mailing Address - Street 1:400 FRANKLIN TURNPIKE
Mailing Address - Street 2:SUITE #204
Mailing Address - City:MAHWAH
Mailing Address - State:NJ
Mailing Address - Zip Code:07430
Mailing Address - Country:US
Mailing Address - Phone:201-236-8300
Mailing Address - Fax:201-236-8328
Practice Address - Street 1:400 FRANKLIN TURNPIKE
Practice Address - Street 2:SUITE #204
Practice Address - City:MAHWAH
Practice Address - State:NJ
Practice Address - Zip Code:07430
Practice Address - Country:US
Practice Address - Phone:201-236-8300
Practice Address - Fax:201-236-8328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty