Provider Demographics
NPI:1134717424
Name:PRIORITYMED EXPRESS NJ LLC
Entity type:Organization
Organization Name:PRIORITYMED EXPRESS NJ LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NNAMDI
Authorized Official - Middle Name:
Authorized Official - Last Name:NKWUO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-979-8016
Mailing Address - Street 1:30 DESAI COURT
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-8405
Mailing Address - Country:US
Mailing Address - Phone:732-979-8016
Mailing Address - Fax:
Practice Address - Street 1:30 DESAI COURT
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-8405
Practice Address - Country:US
Practice Address - Phone:732-979-8016
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty