21St Century Total Health Clinic PC
Organization Active NPI Exclusive Provider Organization · Orange, NJ
NPI 1679909030 · NPPES record last updated Aug 4, 2016
Key facts
- NPI
- 1679909030
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Exclusive Provider Organization 302F00000X
- License
- 38MCOO641500 (NJ)
- Legal business name
- 21ST CENTURY TOTAL HEALTH CLINIC PC
- Practice address
- 439 Main St
Suite 101
Orange, NJ 07050-1523 - Phone
- (973) 675-8700
- Fax
- (973) 675-8701
- NPI assigned
- Sep 17, 2013
- Organization subpart
- No
Authorized official
- Name
- Kesnold Baptiste, DC
- Title
- President
- Phone
- (908) 625-7463
National Provider Directory
Locations
439 Main St
Ste 101
Orange, NJ 07050
Phone (973) 675-8700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | 38MCOO641500 | NJ | Yes |
Addresses
Primary practice location
439 Main St
Suite 101
Orange, NJ 07050-1523
Mailing address
439 Main St
Suite 101
Orange, NJ 07050-1523
Phone (973) 675-8700
Other providers in Orange, NJ
- 2ND Home Day Hab Center LLC
- 2ND Home Orange Operations LLC
- 7TH Grace Healthcare Services LLC
- Maryam Abass
- Eunice Abimah
All providers in Orange, NJ · Exclusive Provider Organization 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 Aug 4, 2016. 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.