Healthcare Provider Details
I. General information
NPI: 1376595827
Provider Name (Legal Business Name): AMERICAN PHYSICIANS SERVICES , PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/16/2006
Last Update Date: 06/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
679 MONTGOMERY STREET
JERSEY CITY NJ
07304
US
IV. Provider business mailing address
679 MONTGOMERY STREET
JERSEY CITY NJ
07304
US
V. Phone/Fax
- Phone: 201-433-6500
- Fax: 201-433-8010
- Phone: 201-433-6500
- Fax: 201-433-8010
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207PE0004X |
| Taxonomy | Emergency Medical Services (Emergency Medicine) Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BHUPENDRA
KAPADIA
Title or Position: CEO/ PHYSICIAN
Credential: M.D.
Phone: 201-433-6500