Provider Demographics
NPI:1821685744
Name:NUME MED SPA
Entity Type:Organization
Organization Name:NUME MED SPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:IRAIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:APN
Authorized Official - Phone:973-415-9437
Mailing Address - Street 1:270 SPARTA AVE STE 104, BOX 122
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07871
Mailing Address - Country:US
Mailing Address - Phone:973-415-9437
Mailing Address - Fax:973-862-8803
Practice Address - Street 1:125 MAIN ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860-2037
Practice Address - Country:US
Practice Address - Phone:973-415-9437
Practice Address - Fax:973-862-8803
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NUME MED SPA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-12-26
Last Update Date:2020-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care