Provider Demographics
NPI:1518380153
Name:EMES MEDICAL DIAGNOSTICS AND SOLUTIONS P.C.
Entity Type:Organization
Organization Name:EMES MEDICAL DIAGNOSTICS AND SOLUTIONS P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIALIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:AKKERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-685-7121
Mailing Address - Street 1:12 ELLINGTON WAY
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-1402
Mailing Address - Country:US
Mailing Address - Phone:718-701-2559
Mailing Address - Fax:973-246-7120
Practice Address - Street 1:190 MIDLAND AVE
Practice Address - Street 2:2ND FL
Practice Address - City:SADDLE BROOK
Practice Address - State:NJ
Practice Address - Zip Code:07663-6408
Practice Address - Country:US
Practice Address - Phone:973-685-7121
Practice Address - Fax:973-246-7120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-03
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MAO8170000305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service