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Contact Information

BAYONNE MEDICAL CARE LLC
415 AVENEL ST
AVENEL, NJ07001-1147
 Phone: 732-750-1180
 Fax: 732-750-1182
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for BAYONNE MEDICAL CARE LLC

NPI # 1437382231
LBN Legal business name BAYONNE MEDICAL CARE LLC
Authorized official MUHAMMAD SIDDIQUE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/26/2009
Last updated 07/24/2012 - About 14 years ago
Identifiers
NJ License # MA 67664
NJ Medicaid 7797001
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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