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Contact Information

SEACREST MEDICAL ASSOCIATES, P.A.
1160 RAYMOND BLVD
NEWARK, NJ07102-4168
 Phone: 973-596-3857
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for SEACREST MEDICAL ASSOCIATES, P.A.

NPI # 1164489621
LBN Legal business name SEACREST MEDICAL ASSOCIATES, P.A.
Authorized official JOSEPH CALABRO - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/27/2006
Last updated 07/21/2022 - About 4 years ago
Identifiers
NJ Medicaid 0004561
NJ Other 2392545000 AMERIHEALTH
NJ Other 6113092 BLACK LUNG
NJ Other DA3466 & CK8172 RAILROAD MEDICARE
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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