Healthcare Provider Details

I. General information

NPI: 1669123949
Provider Name (Legal Business Name): CAREMED OHIO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2022
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4293 MONROE ST # OH
TOLEDO OH
43606-1943
US

IV. Provider business mailing address

300 TICE BLVD STE 175
WOODCLIFF LAKE NJ
07677-8405
US

V. Phone/Fax

Practice location:
  • Phone: 718-534-0689
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: NISSAN FRIEDMAN
Title or Position: DIRECTOR
Credential:
Phone: 212-734-6621