Achieve Beyond

Organization Active NPI Basic Emergency Medical Technician · Woodbridge, NJ

NPI 1609247402 · NPPES record last updated Oct 19, 2015

Key facts

NPI
1609247402
Entity type
Organization (NPI type 2)
Primary specialty
Basic Emergency Medical Technician 146N00000X
Legal business name
ACHIEVE BEYOND
Practice address
581 Main St Ste 640
Woodbridge, NJ 07095-1196
Phone
(718) 762-7633
NPI assigned
Oct 19, 2015
Organization subpart
No

Authorized official

Name
Ms. Melinda Teague
Title
NJ Regional Director
Phone
(646) 554-7205

Practitioners 1

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

National Provider Directory

Locations

581 Main St
Ste 640
Woodbridge, NJ 07095
Phone (732) 204-1636

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician
Group: 193400000X SINGLE SPECIALTY GROUP
146N00000X IL Yes

Addresses

Primary practice location

581 Main St Ste 640
Woodbridge, NJ 07095-1196

Mailing address

89 Bernice Rd
Belleville, NJ 07109-1562
Phone (973) 508-6117

Other identifiers

IdentifierTypeStateIssuer
SKR834438479OtherILBLUECROSS BLUESHIELD

Other providers in Woodbridge, NJ

All providers in Woodbridge, NJ · Basic Emergency Medical Technician in New Jersey

Sources for this page

Verify at the official NPI Registry.