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Contact Information

IJKG OPCO LLC
29TH STREET AT AVENUE E
BAYONNE, NJ07002
 Phone: 201-858-5000
 Fax: 201-858-7333
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

General Acute Care Hospital

282N00000X A0[7] Hospital-General
Indicates primary specialty

NPI Profile & details for IJKG OPCO LLC

NPI # 1437356755
LBN Legal business name IJKG OPCO LLC
Authorized official FRANK RODRIGUEZ - (SYSTEM DIRECTOR OF MEDICAL STAFF)
Entity Organization
Organization subpart 1 No
Enumeration date 06/29/2007
Last updated 12/05/2025 - About 6 months ago
Identifiers
NJ License # 221487124
NJ License # 315431
NJ Medicaid 4136705
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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