Old Hook Medical Associates, LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

25MA04377200 Issued in NJ

Legal business name

OLD HOOK MEDICAL ASSOCIATES, LLC

Doing business as

Old Hook Medical Associates

Practice address

452 Old Hook Rd
Floor 2
Emerson, NJ 07630-1381

Phone

(201) 666-3900

NPI assigned

Mar 27, 2013

Organization subpart

Yes

Parent organization

MEDVANTX,INC.As reported in NPPES

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

Authorized official

Name

Kenny Heine

Title

VP of Operations

Phone

(858) 964-1506

Specialties & licenses 1

Addresses

Other names 1

• Old Hook Medical Associates Doing business as

Part of

Tri - State Medical Group Inc

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367884800000",
    "number": "1225370356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 OLD HOOK RD",
            "address_2": "FLOOR 2",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301381",
            "telephone_number": "201-666-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD HOOK MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX,INC.",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-05-07",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "858-964-1506"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NJ",
            "license": "25MA04377200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Old Hook Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• New Concepts for Living
• New Concepts for Living
• New Concepts for Living
• New York Gastroenterology & Digestive Disorders PC
• Mekola Nodjanosh
• Old Hook Medical Associates, LLC
• Old Hook Medical Associates, LLC
• Old Hook Podiatry Assoc PC
• Kathe Olohan, RN APN
• Orthpaedic & Sports Medicine Associates,P.a.

• Non-Pharmacy Dispensing Site in Emerson, NJ
• Providers in Emerson, NJ by specialty
• Non-Pharmacy Dispensing Site in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; 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.