Provider Demographics
NPI:1982832077
Name:ONE HEALTHCARE LLC
Entity Type:Organization
Organization Name:ONE HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:S
Authorized Official - Last Name:HONG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-981-1111
Mailing Address - Street 1:1100 CENTENNIAL AVE.
Mailing Address - Street 2:SUITE 103-104
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854
Mailing Address - Country:US
Mailing Address - Phone:732-981-1111
Mailing Address - Fax:732-981-1113
Practice Address - Street 1:1100 CENTENNIAL AVE.
Practice Address - Street 2:SUITE 103-104
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854
Practice Address - Country:US
Practice Address - Phone:732-981-1111
Practice Address - Fax:732-981-1113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-26
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06569600207R00000X
NJ25MA04801100207R00000X
NJ25MA04051700207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
H11009Medicare UPIN