Healthcare Provider Details

I. General information

NPI: 1225180144
Provider Name (Legal Business Name): CITY OF BAYONNE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 07/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

564 BROADWAY 2ND FLOOR
BAYONNE NJ
07002
US

IV. Provider business mailing address

564 BROADWAY 2ND FLOOR
BAYONNE NJ
07002
US

V. Phone/Fax

Practice location:
  • Phone: 201-823-1250
  • Fax: 201-823-1140
Mailing address:
  • Phone: 201-823-1250
  • Fax: 201-823-1140

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number70993
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number26NN10250000
License Number StateNJ

VIII. Authorized Official

Name: MS. CATHERINE ANNE LOMBARDI
Title or Position: CLINIC COORDINATOR
Credential: RN, BSN
Phone: 201-823-1250