Provider Demographics
NPI:1013257419
Name:NJ MEDICAL SOLUTIONS
Entity Type:Organization
Organization Name:NJ MEDICAL SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JEWEL
Authorized Official - Middle Name:N
Authorized Official - Last Name:MALONZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-456-4784
Mailing Address - Street 1:17 S 21ST ST
Mailing Address - Street 2:
Mailing Address - City:KENILWORTH
Mailing Address - State:NJ
Mailing Address - Zip Code:07033-1625
Mailing Address - Country:US
Mailing Address - Phone:908-456-4784
Mailing Address - Fax:908-245-4050
Practice Address - Street 1:17 S 21ST ST
Practice Address - Street 2:
Practice Address - City:KENILWORTH
Practice Address - State:NJ
Practice Address - Zip Code:07033-1625
Practice Address - Country:US
Practice Address - Phone:908-456-4784
Practice Address - Fax:908-245-4050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-21
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile