Provider Demographics
NPI:1972151207
Name:NASPAC-NJ PLLC
Entity Type:Organization
Organization Name:NASPAC-NJ PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOGDOL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-845-3988
Mailing Address - Street 1:404 CREEK CROSSING BLVD STE 404
Mailing Address - Street 2:
Mailing Address - City:HAINESPORT
Mailing Address - State:NJ
Mailing Address - Zip Code:08036-2768
Mailing Address - Country:US
Mailing Address - Phone:609-845-3988
Mailing Address - Fax:609-288-6078
Practice Address - Street 1:2325 MARYLAND RD STE 100
Practice Address - Street 2:
Practice Address - City:WILLOW GROVE
Practice Address - State:PA
Practice Address - Zip Code:19090-1758
Practice Address - Country:US
Practice Address - Phone:215-657-1315
Practice Address - Fax:215-659-8964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-29
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0002XSuppliersPharmacyClinic PharmacyGroup - Multi-Specialty