Neolomed Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NEOLOMED INC.

Practice address

1 Deer Park Dr
Suite Q
Monmouth Junction, NJ 08852-1920

Phone

(908) 274-9450

Fax

(732) 274-9452

NPI assigned

Dec 10, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Faribourz Payvandi, PH.D.

Title

President/Owner

Phone

(732) 274-9450

Specialties & licenses 1

Addresses

Other names 1

• NeoloMed BioSciences, LLC Former legal business name

Locations

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

{
    "created_epoch": "1291939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1265735443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DEER PARK DR",
            "address_2": "SUITE Q",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088521920",
            "telephone_number": "908-274-9450",
            "fax_number": "732-274-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DEER PARK DR",
            "address_2": "SUITE Q",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088521920",
            "telephone_number": "908-274-9450",
            "fax_number": "732-274-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEOLOMED INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-10",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "PAYVANDI",
        "authorized_official_first_name": "FARIBOURZ",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "732-274-9450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeoloMed BioSciences, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.