Confucius Plaza Medical Laboratory Corp

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

R47782337454602 Issued in NJ

Legal business name

CONFUCIUS PLAZA MEDICAL LABORATORY CORP

Practice address

42 Throckmorton LN
Old Bridge, NJ 08857-2572

Phone

(516) 464-6121

Fax

(212) 625-9338

NPI assigned

Oct 1, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Erlinda Salcedo RizzoNPI 1619190964

Title

Manager

Phone

(212) 431-4200

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erlinda Salcedo Rizzo, BSMT

  • Medical Technologist
  • New York, NY
  • NPI 1619190964
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1134316441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 THROCKMORTON LN",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572572",
            "telephone_number": "516-464-6121",
            "fax_number": "212-625-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 THROCKMORTON LN",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572572",
            "telephone_number": "516-464-6121",
            "fax_number": "212-625-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONFUCIUS PLAZA MEDICAL LABORATORY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "RIZZO",
        "authorized_official_first_name": "ERLINDA",
        "authorized_official_middle_name": "SALCEDO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "212-431-4200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NJ",
            "license": "R47782337454602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.