Active NPI
Oxford Clinical Laboratory Inc.
- Clinical Medical Laboratory
- Haledon, NJ
National Provider Identifier
1942652946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180313000239 | NJ | Part B Supplier - Independent Clinical Laboratory | 3072875996 | Practice locations: Haledon, NJ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2139218 | Oxford Clinical Laboratory | Accreditation | Feb 20, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.