Provider Demographics
NPI:1558630186
Name:MEDTALENTS, INC.
Entity Type:Organization
Organization Name:MEDTALENTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AUREO
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPIRAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-384-7400
Mailing Address - Street 1:155 N WASHINGTON AVE
Mailing Address - Street 2:STE #23
Mailing Address - City:BERGENFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07621-1742
Mailing Address - Country:US
Mailing Address - Phone:201-384-7400
Mailing Address - Fax:201-385-8243
Practice Address - Street 1:155 N WASHINGTON AVE
Practice Address - Street 2:STE #23
Practice Address - City:BERGENFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07621-1742
Practice Address - Country:US
Practice Address - Phone:201-384-7400
Practice Address - Fax:201-385-8243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-28
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0065900251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1237215OtherBUSINESS REGISTRATION CERTIFICATE