Provider Demographics
NPI:1649324591
Name:HUDSON PARTNERSHIP CARE MANAGEMENT ORGANIZATION
Entity type:Organization
Organization Name:HUDSON PARTNERSHIP CARE MANAGEMENT ORGANIZATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:J
Authorized Official - Last Name:FINNERTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-537-1460
Mailing Address - Street 1:110 MEADOWLANDS PKWY
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:SECAUCUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07094-2302
Mailing Address - Country:US
Mailing Address - Phone:201-537-1460
Mailing Address - Fax:201-537-1453
Practice Address - Street 1:110 MEADOWLANDS PKWY
Practice Address - Street 2:2ND FLOOR
Practice Address - City:SECAUCUS
Practice Address - State:NJ
Practice Address - Zip Code:07094-2302
Practice Address - Country:US
Practice Address - Phone:201-537-1460
Practice Address - Fax:201-537-1453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8458006Medicaid