Provider Demographics
NPI:1952859522
Name:ORION HEALTHCARE LLC
Entity Type:Organization
Organization Name:ORION HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMDAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:848-250-3516
Mailing Address - Street 1:90 WASHINGTON ST
Mailing Address - Street 2:SUITE 308
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07017-1050
Mailing Address - Country:US
Mailing Address - Phone:973-677-3300
Mailing Address - Fax:973-677-3400
Practice Address - Street 1:90 WASHINGTON ST
Practice Address - Street 2:SUITE 308
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07017-1050
Practice Address - Country:US
Practice Address - Phone:973-677-3300
Practice Address - Fax:973-677-3400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-13
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA70894207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8253102Medicaid
NJ8253102Medicaid