The Pod Spa

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

25MA03452100 Issued in NJ

Legal business name

THE POD SPA

Practice address

9014 Durham Ave
2ND Floor
North Bergen, NJ 07047-4438

Phone

(201) 988-7058

NPI assigned

Sep 11, 2014

Organization subpart

No

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

Authorized official

Name

Amalia De Mier

Title

Owner

Phone

(201) 994-7028

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1780085456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 BOULEVARD EAST",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "070934818",
            "telephone_number": "201-988-7058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9014 DURHAM AVE",
            "address_2": "2ND FLOOR",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070474438",
            "telephone_number": "201-988-7058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE POD SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-11",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "DE MIER",
        "authorized_official_first_name": "AMALIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-994-7028"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NJ",
            "license": "25MA03452100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0470406",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in North Bergen, NJ
• Providers in North Bergen, NJ by specialty
• Health Maintenance Organization in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.