Nj Med, PA
NPI 1548343973ActiveOrganization· Exclusive Provider Organization· Elizabeth, NJ
Exclusive Provider Organization in Elizabeth, New Jersey, registered in NPPES in October 2006. The authorized official on file is Vivian Shaughnessy, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1548343973 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 21, 2006 |
| Last updated in NPPES | Sep 11, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Exclusive Provider Organization Primary | 302F00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
Other Exclusive Provider Organization providers in Elizabeth
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