NPIMap

Organization Active NPI

Prime Healthcare Services - Saint Clare's, LLC

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

  • Clinic/Center
  • Randolph, NJ
National Provider Identifier
1699291377
Registry record updated Aug 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PRIME HEALTHCARE SERVICES - SAINT CLARE'S, LLC
Doing business as
Saint Clare's Health - Lakeland Cardiology Center
Practice address
765 Route 10 Ste 104
Randolph, NJ 07869-1925
Phone
(973) 989-2566
Fax
(973) 989-5669
NPI assigned
Aug 15, 2017
Last updated
Aug 15, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

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 1

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

National Provider Directory

National Provider Directory
Tax ID family
Prime Healthcare Services -13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; 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.