Provider Demographics
NPI:1245289842
Name:NP CARE OF NJ, LLC
Entity type:Organization
Organization Name:NP CARE OF NJ, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHESS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-251-2900
Mailing Address - Street 1:1608 ROUTE 88 W
Mailing Address - Street 2:SUITE 120
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724-3009
Mailing Address - Country:US
Mailing Address - Phone:732-785-2791
Mailing Address - Fax:
Practice Address - Street 1:1608 ROUTE 88 W
Practice Address - Street 2:SUITE 120
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-3009
Practice Address - Country:US
Practice Address - Phone:732-785-2791
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-09
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0125725Medicaid
DF4567Medicare PIN
NJ101780Medicare PIN