Healthcare Provider Details

I. General information

NPI: 1871728402
Provider Name (Legal Business Name): CONTINENTAL HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2009
Last Update Date: 05/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 PROSPECT AVE SUITE 809
HACKENSACK NJ
07601-1997
US

IV. Provider business mailing address

PO BOX 5105 #22
RIDGEWOOD NJ
07451-5105
US

V. Phone/Fax

Practice location:
  • Phone: 201-457-3366
  • Fax: 201-457-9050
Mailing address:
  • Phone: 201-457-3366
  • Fax: 201-457-9050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number25MA08054600
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. KARAN S NEJAD
Title or Position: CEO
Credential: M.D.
Phone: 201-457-3366