Healthcare Provider Details

I. General information

NPI: 1588584122
Provider Name (Legal Business Name): AHS HOSPITAL CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 BERDAN AVE STE 500
WAYNE NJ
07470-3236
US

IV. Provider business mailing address

201 BERDAN AVE STE 500
WAYNE NJ
07470-3236
US

V. Phone/Fax

Practice location:
  • Phone: 973-995-0125
  • Fax:
Mailing address:
  • Phone: 973-995-0125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH MICHAEL WALTER
Title or Position: CFO
Credential:
Phone: 610-331-9446