Healthcare Provider Digital Endpoint |
|
NPI (National Provider Identifier)
|
1114902467
|
|
Endpoint Type
|
OTHERS (Other URL)
|
|
Endpoint
|
Stelian.Serban.1@21449.direct.athenahealth.com
|
|
Endpoint Description
|
|
|
Endpoint Affiliation
|
Y (Yes, Endpoint is affiliated with an NPI or EIN)
|
Endpoint Affiliation Information |
|
Affiliation Legal Business Name
|
Premier Brain and Spine, LLC
|
|
Affiliation Legal Business Address
|
146 N State Rt 17 Ste 2
Hackensack NJ
07601-1071
US
|
Healthcare Provider Digital Endpoint Use |
|
Use Code
|
DIRECT
|
|
Use Description
|
Direct
|
|
Other Use Description
|
|
Healthcare Provider Digital Endpoint Content |
|
Content Type
|
|
|
Content Description
|
|
|
Other Content Description
|
|
Healthcare Provider Digital Endpoint |
|
NPI (National Provider Identifier)
|
1114902467
|
|
Endpoint Type
|
OTHERS (Other URL)
|
|
Endpoint
|
Stelian.Serban.1@21449.direct.athenahealth.com
|
|
Endpoint Description
|
|
|
Endpoint Affiliation
|
Y (Yes, Endpoint is affiliated with an NPI or EIN)
|
Endpoint Affiliation Information |
|
Affiliation Legal Business Name
|
Premier Brain and Spine, LLC
|
|
Affiliation Legal Business Address
|
2500 Morris Ave Ste 220
Union NJ
07083-5675
US
|
Healthcare Provider Digital Endpoint Use |
|
Use Code
|
DIRECT
|
|
Use Description
|
Direct
|
|
Other Use Description
|
|
Healthcare Provider Digital Endpoint Content |
|
Content Type
|
|
|
Content Description
|
|
|
Other Content Description
|
|
Healthcare Provider Digital Endpoint |
|
NPI (National Provider Identifier)
|
1114902467
|
|
Endpoint Type
|
OTHERS (Other URL)
|
|
Endpoint
|
Stelian.Serban.1@21449.direct.athenahealth.com
|
|
Endpoint Description
|
|
|
Endpoint Affiliation
|
Y (Yes, Endpoint is affiliated with an NPI or EIN)
|
Endpoint Affiliation Information |
|
Affiliation Legal Business Name
|
Premier Brain and Spine, LLC
|
|
Affiliation Legal Business Address
|
3540 John F Kennedy Blvd
Jersey City NJ
07307-3450
US
|
Healthcare Provider Digital Endpoint Use |
|
Use Code
|
DIRECT
|
|
Use Description
|
Direct
|
|
Other Use Description
|
|
Healthcare Provider Digital Endpoint Content |
|
Content Type
|
|
|
Content Description
|
|
|
Other Content Description
|
|
Healthcare Provider Digital Endpoint |
|
NPI (National Provider Identifier)
|
1114902467
|
|
Endpoint Type
|
OTHERS (Other URL)
|
|
Endpoint
|
Stelian.Serban.1@21449.direct.athenahealth.com
|
|
Endpoint Description
|
|
|
Endpoint Affiliation
|
Y (Yes, Endpoint is affiliated with an NPI or EIN)
|
Endpoint Affiliation Information |
|
Affiliation Legal Business Name
|
Premier Brain and Spine, LLC
|
|
Affiliation Legal Business Address
|
922 Main St Ste 201
Paterson NJ
07503-2602
US
|
Healthcare Provider Digital Endpoint Use |
|
Use Code
|
DIRECT
|
|
Use Description
|
Direct
|
|
Other Use Description
|
|
Healthcare Provider Digital Endpoint Content |
|
Content Type
|
|
|
Content Description
|
|
|
Other Content Description
|
|
Healthcare Provider Digital Endpoint |
|
NPI (National Provider Identifier)
|
1114902467
|
|
Endpoint Type
|
OTHERS (Other URL)
|
|
Endpoint
|
Stelian.Serban.1@21449.direct.athenahealth.com
|
|
Endpoint Description
|
|
|
Endpoint Affiliation
|
Y (Yes, Endpoint is affiliated with an NPI or EIN)
|
Endpoint Affiliation Information |
|
Affiliation Legal Business Name
|
Premier Brain and Spine, LLC
|
|
Affiliation Legal Business Address
|
10 Parsonage Rd Ste 208
Edison NJ
08837-2429
US
|
Healthcare Provider Digital Endpoint Use |
|
Use Code
|
DIRECT
|
|
Use Description
|
Direct
|
|
Other Use Description
|
|
Healthcare Provider Digital Endpoint Content |
|
Content Type
|
|
|
Content Description
|
|
|
Other Content Description
|
|