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NPI Code Detail

MEDICARE: STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL

MEDICARE: STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1320600000XIntellectual and/or Developmental Disabilities Residential Treatment Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2528582OTHERNJPROVIDER GROUP

General Provider Information

NPI Number : 1982642641
Entity Type Code : Organization
Provider Name (Legal Business Name) : STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL
Provider Business Mailing Address
First Line : 1175 DEHIRSCH AVE
Second Line :
City : WOODBINE
State : NJ
Zip : 08270-2401
Country : US
Telephone Number : 609-861-2164
Fax Number : 609-861-5176
Provider Business Practice Location Address
First Line : 1175 DEHIRSCH AVE
Second Line :
City : WOODBINE
State : NJ
Zip : 08270-2401
Country : US
Telephone Number : 609-861-2164
Fax Number : 609-861-5176
Authorized Official
Title or Position : CEO
Name : MR. ROBERT J ARMSTRONG
Credential : RN, BSN, MSA
Telephone Number : 609-861-6041
Provider Enumeration Date : 06/03/2006
Last Update Date : 01/09/2017

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Practice Fax:
1902992357 — DR. JAE M CHU M.D.
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1175 DEHIRSCH AVE
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1912035205 — DR. JOHN FRANCIS MCGRAIL M.D.
Practice Location Address:
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1285881433 — DR. CHARLES F SIEBERT JR. M.D.
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Directions to “STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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