Provider Demographics
NPI:1528019700
Name:JIDEX GLOBAL CORP.
Entity Type:Organization
Organization Name:JIDEX GLOBAL CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:ORIBABOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:800-603-6354
Mailing Address - Street 1:540 SAINT JOHNS PL
Mailing Address - Street 2:2-E
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-5533
Mailing Address - Country:US
Mailing Address - Phone:917-338-6277
Mailing Address - Fax:866-306-0179
Practice Address - Street 1:244 5TH AVE
Practice Address - Street 2:SUITE C-234
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-7604
Practice Address - Country:US
Practice Address - Phone:800-603-6354
Practice Address - Fax:866-306-0179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-13
Last Update Date:2009-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty