Provider Demographics
NPI:1497405294
Name:NORTH AMERICAN DELEGATION OF EMERGENCY MEDICINE LLC
Entity Type:Organization
Organization Name:NORTH AMERICAN DELEGATION OF EMERGENCY MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NALIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RANASINGHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-917-0600
Mailing Address - Street 1:PO BOX 4481
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:NJ
Mailing Address - Zip Code:07059-0481
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:330 CHANGEBRIDGE RD STE 101
Practice Address - Street 2:
Practice Address - City:PINE BROOK
Practice Address - State:NJ
Practice Address - Zip Code:07058-9839
Practice Address - Country:US
Practice Address - Phone:732-917-0600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-25
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty