LODESPOTO MEDICAL OF NJ LLC; NPI #1013319052

Contact Information

LODESPOTO MEDICAL OF NJ LLC

225 PASSAIC ST
PASSAIC, NJ 07055-6414

Phone: 201-335-8909
Fax: 844-840-7352
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Neuroradiology	2085N0700X

Indicates primary specialty

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NPI Profile & details for LODESPOTO MEDICAL OF NJ LLC

NPI Number 1013319052

LBN Legal business name LODESPOTO MEDICAL OF NJ LLC

Authorized official MARK LODESPOTO - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/22/2014

Last updated 04/17/2019 - About 7 years ago

Identifiers

License #

25MA09300800

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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