Provider Demographics
NPI:1023669165
Name:IMPERIAL BILLING LLC
Entity type:Organization
Organization Name:IMPERIAL BILLING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SETH
Authorized Official - Middle Name:M
Authorized Official - Last Name:KIPNIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-775-5005
Mailing Address - Street 1:PO BOX 848
Mailing Address - Street 2:
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07754-0848
Mailing Address - Country:US
Mailing Address - Phone:732-774-8900
Mailing Address - Fax:732-775-0064
Practice Address - Street 1:1706 CORLIES AVE
Practice Address - Street 2:
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753-4910
Practice Address - Country:US
Practice Address - Phone:732-774-8900
Practice Address - Fax:732-775-0064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-20
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-SurgicalGroup - Single Specialty