Provider Demographics
NPI:1811160252
Name:HEALTH INFORMATION ASSOCIATE INC.
Entity type:Organization
Organization Name:HEALTH INFORMATION ASSOCIATE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:YESUDAS
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:973-568-3476
Mailing Address - Street 1:19 SKYTOP DR
Mailing Address - Street 2:
Mailing Address - City:DENVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07834-9501
Mailing Address - Country:US
Mailing Address - Phone:973-568-3476
Mailing Address - Fax:973-442-7307
Practice Address - Street 1:19 SKYTOP DR
Practice Address - Street 2:
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834-9501
Practice Address - Country:US
Practice Address - Phone:973-568-3476
Practice Address - Fax:973-442-7307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-07
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07024100261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health