Provider Demographics
NPI:1588621957
Name:PULSE INC
Entity Type:Organization
Organization Name:PULSE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:SILLS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-842-7614
Mailing Address - Street 1:174 PATTERSON AVE
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:07702-4168
Mailing Address - Country:US
Mailing Address - Phone:732-842-7614
Mailing Address - Fax:732-842-4416
Practice Address - Street 1:174 PATTERSON AVE
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4168
Practice Address - Country:US
Practice Address - Phone:732-842-7614
Practice Address - Fax:732-842-4416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-28
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2743302Medicaid
NJCM8171OtherRAILROAD MEDICARE
C58413Medicare UPIN
NJ020959Medicare ID - Type Unspecified