Provider Demographics
| NPI: | 1780916254 |
|---|---|
| Name: | NJ CARE LLC. |
| Entity type: | Organization |
| Organization Name: | NJ CARE LLC. |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | PHYSICIAN/RHEUMATOLOGIST |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | AHMED |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | ABDEL MEGID |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | MD |
| Authorized Official - Phone: | 908-930-6891 |
| Mailing Address - Street 1: | 225 DEMOTT LN |
| Mailing Address - Street 2: | SUITE 2 |
| Mailing Address - City: | SOMERSET |
| Mailing Address - State: | NJ |
| Mailing Address - Zip Code: | 08873-4875 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 908-930-6891 |
| Mailing Address - Fax: | 732-246-3644 |
| Practice Address - Street 1: | 225 DEMOTT LN |
| Practice Address - Street 2: | SUITE 2 |
| Practice Address - City: | SOMERSET |
| Practice Address - State: | NJ |
| Practice Address - Zip Code: | 08873-4875 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 908-930-6891 |
| Practice Address - Fax: | 732-246-3644 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2010-02-08 |
| Last Update Date: | 2010-02-08 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| NJ | 25MA08258500 | 261QM2500X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 261QM2500X | Ambulatory Health Care Facilities | Clinic/Center | Medical Specialty |