Provider Demographics
NPI:1801416144
Name:UNIFY SELECT HEALTH LLC
Entity Type:Organization
Organization Name:UNIFY SELECT HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KISHOR
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLANKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-257-2800
Mailing Address - Street 1:800 LANIDEX PLZ STE 100
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-2734
Mailing Address - Country:US
Mailing Address - Phone:973-658-7300
Mailing Address - Fax:
Practice Address - Street 1:800 LANIDEX PLZ STE 100
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-2734
Practice Address - Country:US
Practice Address - Phone:973-658-7300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-16
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care