Healthcare Provider Details

I. General information

NPI: 1013811736
Provider Name (Legal Business Name): HUMC OPCO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 WILLOW AVE
HOBOKEN NJ
07030-3808
US

IV. Provider business mailing address

55 MEADOWLANDS PKWY STE 1
SECAUCUS NJ
07094-2977
US

V. Phone/Fax

Practice location:
  • Phone: 201-418-1000
  • Fax:
Mailing address:
  • Phone: 201-323-5981
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: CHRIS DALTON
Title or Position: VP RCM
Credential:
Phone: 201-323-5981