Provider Demographics
NPI:1578988481
Name:NEIGHBORHOOD MEDICAL CENTER
Entity Type:Organization
Organization Name:NEIGHBORHOOD MEDICAL CENTER
Other - Org Name:DR AMIT SETH
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-370-6452
Mailing Address - Street 1:310 CENTRAL AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07018-2835
Mailing Address - Country:US
Mailing Address - Phone:908-370-6452
Mailing Address - Fax:973-674-8033
Practice Address - Street 1:310 CENTRAL AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-2835
Practice Address - Country:US
Practice Address - Phone:908-370-6452
Practice Address - Fax:973-674-8033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-28
Last Update Date:2014-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00416900363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0261599Medicaid