Organization Active NPI

Life Medical Center Inc

  • Health Service Clinic/Center
  • Elizabeth, NJ
National Provider Identifier
1740681592
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
LIFE MEDICAL CENTER INC
Practice address
1139 E Jersey St Ste 408
Elizabeth, NJ 07201-2446
Phone
(812) 207-3399
NPI assigned
Sep 11, 2014
Last updated
Sep 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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

Authorized official

Name
Mr. Osmaro J Ruiz
Title
President
Phone
(812) 207-3399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1139 E Jersey St Ste 408
Elizabeth, NJ 07201-2446

Mailing address

1139 E Jersey St Ste 408
Elizabeth, NJ 07201-2446
Phone (812) 207-3399

National Provider Directory

National Provider Directory

Locations

1139 E Jersey St
Ste 408
Elizabeth, NJ 07201
Phone (812) 207-3399

NPI Registry JSON

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1740681592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 E JERSEY ST STE 408",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012446",
            "telephone_number": "812-207-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 E JERSEY ST STE 408",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012446",
            "telephone_number": "812-207-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-11",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "OSMARO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-207-3399",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; 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.