Provider Demographics
NPI:1902095839
Name:NEW JERSEY HYPERBARIC OXYGEN
Entity Type:Organization
Organization Name:NEW JERSEY HYPERBARIC OXYGEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAMWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-401-1800
Mailing Address - Street 1:2200 ROUTE 10
Mailing Address - Street 2:SUITE 2
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-5304
Mailing Address - Country:US
Mailing Address - Phone:973-401-1800
Mailing Address - Fax:973-401-1878
Practice Address - Street 1:2200 ROUTE 10
Practice Address - Street 2:SUITE 2
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-5304
Practice Address - Country:US
Practice Address - Phone:973-401-1800
Practice Address - Fax:973-401-1878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-16
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA073490207PE0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
082096Medicare PIN