Organization Active NPI

Humc Opco LLC

  • Clinic/Center
  • Hoboken, NJ
National Provider Identifier
1467645952
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
10908 Issued in NJ
Legal business name
HUMC OPCO LLC
Practice address
122-132 Clinton St
Hoboken, NJ 07030-8519
Phone
(201) 418-3109
Fax
(201) 418-3147
NPI assigned
Aug 20, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Vincent Ricciteli
Title
VP Finance
Phone
(201) 418-2184

National Provider Directory

National Provider Directory
Tax ID family
Humc Opco LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 10908 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

122-132 Clinton St
Hoboken, NJ 07030-8519

Mailing address

PO Box 48309
Newark, NJ 07101-4800
Phone (201) 418-3109

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
4137906MedicaidNJ

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 14, 2011.

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1467645952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48309",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071014800",
            "telephone_number": "201-418-3109",
            "fax_number": "201-418-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122-132 CLINTON ST",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070308519",
            "telephone_number": "201-418-3109",
            "fax_number": "201-418-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMC OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "RICCITELI",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "201-418-2184",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "10908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4137906",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.