VILLAGE SUPER MARKET OF NJ, L.P.; NPI #1174663538

Contact Information

VILLAGE SUPER MARKET OF NJ, L.P.

178 E HANOVER AVE
CEDAR KNOLLS, NJ 07927

Phone: 973-539-3907
Fax: 973-538-3919
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Clinic Pharmacy	3336C0002X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for VILLAGE SUPER MARKET OF NJ, L.P.

NPI # 1174663538

LBN Legal business name VILLAGE SUPER MARKET OF NJ, L.P.

Authorized official MELISSA FIGUEROA RIVERA - (THIRD PARTY ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/07/2007

Last updated 12/06/2013 - About 13 years ago

Identifiers

NJ	License #	RS003355
NJ	Medicaid	4344901
NJ	Other	3124928	NCPDP

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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