Derrick Alloway Medical Arts, LLC
Organization Active NPI Respite Care · Rutherford, NJ
NPI 1386130243 · NPPES record last updated Jul 3, 2018
Key facts
- NPI
- 1386130243
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Respite Care 385H00000X
- Legal business name
- DERRICK ALLOWAY MEDICAL ARTS, LLC
- Practice address
- 305 Park Ave
Rutherford, NJ 07070-2748 - Phone
- (201) 207-9243
- NPI assigned
- Jul 3, 2018
- Organization subpart
- No
Authorized official
- Name
- Derrick Jason Alloway, LCSW
- Title
- Ceo
- Phone
- (201) 207-9243
Corporate family (same tax ID) 5
National Provider Directory
- Tax ID family
- Derrick Alloway Medical Arts LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respite Care | 385H00000X | Yes |
Addresses
Primary practice location
305 Park Ave
Rutherford, NJ 07070-2748
Mailing address
305 Park Ave
Rutherford, NJ 07070-2748
Phone (201) 207-9243
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0495786 | Medicaid | NJ |
Other providers in Rutherford, NJ
- Anika Davis
- Octavio Federico Delasobera
- Gerard Louis Dematteo
- Derrick Alloway Medical Arts, LLC
- Derrick Alloway Medical Arts, LLC
- Derrick Alloway Medical Arts, LLC
- Derrick Alloway Medical Arts, LLC
- Derrick Alloway Medical Arts, LLC
- Bhumika Desai
- Lisette Diaz
All providers in Rutherford, NJ · Respite Care in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.