Old Hook Medical Associates, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

1092980 Issued in NJ

Legal business name

OLD HOOK MEDICAL ASSOCIATES, LLC

Practice address

452 Old Hook Rd
Emerson, NJ 07630-1381

Phone

(201) 666-3900

Fax

(201) 261-0505

NPI assigned

Jun 23, 2006

Organization subpart

Yes

Parent organization

OLD HOOK MEDICAL ASSOCIATES LLCAs reported in NPPES

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

Authorized official

Name

Mr. Jaime Lijo, CCS-P

Title

Billing/Credentialing

Phone

(201) 666-3900

Specialties & licenses 1

Addresses

Other names 1

• OLD HOOK MEDICAL ASSOCIATES SURGICENTER Doing business as

Part of

Old Hook Medical Assoc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Old Hook Medical Associates, LLC

  • Internal Medicine Physician
  • Emerson, NJ
  • NPI 1417998303
  NPPES parent name

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464652800000",
    "number": "1720014830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 OLD HOOK RD",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301381",
            "telephone_number": "201-666-3900",
            "fax_number": "201-261-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 OLD HOOK RD",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301381",
            "telephone_number": "201-666-3900",
            "fax_number": "201-261-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD HOOK MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OLD HOOK MEDICAL ASSOCIATES LLC",
        "enumeration_date": "2006-06-23",
        "last_updated": "2016-05-31",
        "status": "A",
        "authorized_official_last_name": "LIJO",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING",
        "authorized_official_telephone_number": "201-666-3900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CCS-P"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": "1092980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OLD HOOK MEDICAL ASSOCIATES SURGICENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Old Hook Medical Associates, LLC
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• Kathe Olohan, RN APN
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• Pascack Valley Dental Practice
• Anil Patel, MD

• Ambulatory Surgical Clinic/Center in Emerson, NJ
• Providers in Emerson, NJ by specialty
• Ambulatory Surgical Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.