Healthcare Provider Details
I. General information
NPI: 1326301979
Provider Name (Legal Business Name): PLANNED PARENTHOOD OF NORTHERN, CENTRAL, AND SOUTHERN NJ, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/19/2012
Last Update Date: 02/01/2024
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
320 OHIO AVE
ABSECON NJ
08201-2524
US
IV. Provider business mailing address
196 SPEEDWELL AVE
MORRISTOWN NJ
07960-2934
US
V. Phone/Fax
- Phone: 609-569-9014
- Fax: 609-569-9026
- Phone: 973-539-9580
- Fax: 973-539-3828
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0005X |
| Taxonomy | Ambulatory Family Planning Facility |
| License Number | 25MA06189900 |
| License Number State | NJ |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332900000X |
| Taxonomy | Non-Pharmacy Dispensing Site |
| License Number | BH5459462 |
| License Number State | NJ |
VIII. Authorized Official
Name:
JAMIE
ROSIER
Title or Position: REVENUE CYCLE MANAGER
Credential:
Phone: 732-343-3913