Provider Demographics
NPI:1558673582
Name:NEW JERSEY MEDICAL AND HEALTH ASSOCIATES,LLC
Entity type:Organization
Organization Name:NEW JERSEY MEDICAL AND HEALTH ASSOCIATES,LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:RECORD OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:SPEKTOR
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:201-858-7805
Mailing Address - Street 1:308 WILLOW AVENUE
Mailing Address - Street 2:15TH FLOOR
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-3918
Mailing Address - Country:US
Mailing Address - Phone:201-821-8711
Mailing Address - Fax:201-603-6688
Practice Address - Street 1:308 WILLOW AVE
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-3808
Practice Address - Country:US
Practice Address - Phone:844-427-4362
Practice Address - Fax:201-603-6677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-07
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty