Organization Active NPI

Oxford Clinical Laboratory Inc.

  • Clinical Medical Laboratory
  • Haledon, NJ
National Provider Identifier
1942652946
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
OXFORD CLINICAL LABORATORY INC.
Practice address
397 Haledon Ave Ste 4
Haledon, NJ 07508-1551
Phone
(862) 257-1418
Fax
(862) 257-1419
NPI assigned
Jul 1, 2016
Last updated
Sep 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Shulem Horowitz
Title
Operations Manager
Phone
(347) 243-9673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

397 Haledon Ave Ste 4
Haledon, NJ 07508-1551

Mailing address

397 Haledon Ave Ste 4
Haledon, NJ 07508-1551
Phone (862) 257-1418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180313000239 NJ Part B Supplier - Independent Clinical Laboratory 3072875996 Practice locations: Haledon, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2139218Oxford Clinical Laboratory397 Haledon Avenue, Haledon, NJ 07508AccreditationFeb 20, 2028

National Provider Directory

National Provider Directory

Locations

397 Haledon Ave
Ste 4
Haledon, NJ 07508
Phone (862) 257-1418

NPI Registry JSON

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1942652946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 HALEDON AVE STE 4",
            "city": "HALEDON",
            "state": "NJ",
            "postal_code": "075081551",
            "telephone_number": "862-257-1418",
            "fax_number": "862-257-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 HALEDON AVE STE 4",
            "city": "HALEDON",
            "state": "NJ",
            "postal_code": "075081551",
            "telephone_number": "862-257-1418",
            "fax_number": "862-257-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXFORD CLINICAL LABORATORY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-01",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "HOROWITZ",
        "authorized_official_first_name": "SHULEM",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "347-243-9673"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haledon, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.