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Contact Information

BEACON HEALTH SERVICES LLC
802 OLD SPRINGFIELD AVE
SUMMIT, NJ07901-1130
 Phone: 908-333-4665
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Nutritionist

133N00000X
 

Ph.D. Medical Genetics

170100000X
Indicates primary specialty

NPI Profile & details for BEACON HEALTH SERVICES LLC

NPI # 1609415520
LBN Legal business name BEACON HEALTH SERVICES LLC
Authorized official SHAKTHI KUMAR - (FOUNDER & CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/23/2019
Last updated 12/23/2019 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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