NPIMap

Prime Healthcare Services - Saint Clare'S, LLC

Organization Active NPI Clinic/Center · Randolph, NJ

NPI 1699291377 · NPPES record last updated Aug 15, 2017

Key facts

NPI
1699291377
Entity type
Organization (NPI type 2)
Primary specialty
Clinic/Center 261Q00000X
Legal business name
PRIME HEALTHCARE SERVICES - SAINT CLARE'S, LLC
Practice address
765 Route 10 Ste 104
Randolph, NJ 07869-1925
Phone
(973) 989-2566
Fax
(973) 989-5669
NPI assigned
Aug 15, 2017
Organization subpart
No

Authorized official

Name
Christopher Doan
Title
Cheif Compliance Counsel
Phone
(909) 235-4307

Corporate family (same tax ID) 12

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

National Provider Directory

Tax ID family
Prime Healthcare Services - Saint Clare'S LLC (13 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Yes

Addresses

Primary practice location

765 Route 10 Ste 104
Randolph, NJ 07869-1925

Mailing address

765 Route 10 Ste 104
Randolph, NJ 07869-1925

Other names

  • Saint Clare's Health - Lakeland Cardiology Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 15, 2017.

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502755200000",
    "number": "1699291377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 ROUTE 10 STE 104",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078691925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 ROUTE 10 STE 104",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078691925",
            "telephone_number": "973-989-2566",
            "fax_number": "973-989-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTHCARE SERVICES - SAINT CLARE'S, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-15",
        "last_updated": "2017-08-15",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CHEIF COMPLIANCE COUNSEL",
        "authorized_official_telephone_number": "909-235-4307"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Clare's Health - Lakeland Cardiology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Randolph, NJ

All providers in Randolph, NJ · Clinic/Center in New Jersey

Sources for this page

Verify at the official NPI Registry.