Provider Demographics
NPI:1679298145
Name:SIGMUND NJ
Entity Type:Organization
Organization Name:SIGMUND NJ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LEWIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SCALIONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-518-2709
Mailing Address - Street 1:78 JOHN MILLER WAY STE 1001
Mailing Address - Street 2:
Mailing Address - City:KEARNY
Mailing Address - State:NJ
Mailing Address - Zip Code:07032-6500
Mailing Address - Country:US
Mailing Address - Phone:908-698-2257
Mailing Address - Fax:
Practice Address - Street 1:78 JOHN MILLER WAY STE 1001
Practice Address - Street 2:
Practice Address - City:KEARNY
Practice Address - State:NJ
Practice Address - Zip Code:07032-6500
Practice Address - Country:US
Practice Address - Phone:908-698-2257
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-07
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ19357OtherNJ CLIS
31D2261577OtherCLIA