Provider Demographics
NPI:1639227390
Name:MULTIMED ASSOCIATES,PC
Entity Type:Organization
Organization Name:MULTIMED ASSOCIATES,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHI
Authorized Official - Middle Name:M
Authorized Official - Last Name:WU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-505-5050
Mailing Address - Street 1:PO BOX 4570
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08754-4570
Mailing Address - Country:US
Mailing Address - Phone:732-267-6722
Mailing Address - Fax:732-505-9979
Practice Address - Street 1:9 TIVOLI ST
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08757-4131
Practice Address - Country:US
Practice Address - Phone:732-505-5050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA51229208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ673318Medicare ID - Type UnspecifiedMEDICATE GROUP NUMBER
NJ=========Medicare UPIN