Organization Active NPI

Northern Jersey LLC

  • Lithotripsy Clinic/Center
  • Columbus, OH
National Provider Identifier
1912196908
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lithotripsy Clinic/CenterTaxonomy code 261QL0400X
License
0600101241 Issued in NJ
Legal business name
NORTHERN JERSEY LLC
Practice address
797 Thomas LN
Columbus, OH 43214-3903
Phone
(856) 983-7337
NPI assigned
Oct 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Mrs. Deborah Haggett
Title
Administrator
Phone
(856) 983-7337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lithotripsy Clinic/Center 261QL0400X 0600101241 NJ Primary

Addresses

Primary practice location

797 Thomas LN
Columbus, OH 43214-3903

Mailing address

797 Thomas LN
Columbus, OH 43214-3903
Phone (856) 983-7337

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1912196908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "797 THOMAS LN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143903",
            "telephone_number": "856-983-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "797 THOMAS LN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143903",
            "telephone_number": "856-983-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "HAGGETT",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "856-983-7337",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QL0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Lithotripsy",
            "state": "NJ",
            "license": "0600101241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.