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 |