Bayside Medical And Rehabilitation Center Pc in Bayonne - Neuromusculoskeletal Medicine, Sports Medicine
Bayside Medical And Rehabilitation Center Pc - NPI 1992713655
Bayside Medical And Rehabilitation Center Pc is a Neuromusculoskeletal Medicine, Sports Medicine in Bayonne, New Jersey. Bayside Medical And Rehabilitation Center Pc practices all healthcare services and medical treatments related to Neuromusculoskeletal Medicine, Sports Medicine. The NPI Number for Bayside Medical And Rehabilitation Center Pc is 1992713655. The last update date is 2020-08-22.
Bayside Medical And Rehabilitation Center Pc's current location address is 1160 Kennedy Blvd, Bayonne, New Jersey. You can contact this provider via phone number 2018230303 and fax number 2014366180. The mailing address for Bayside Medical And Rehabilitation Center Pc is 1160 Kennedy Blvd, Bayonne, New Jersey. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Bayside Medical And Rehabilitation Center Pc |
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Address | 1160 Kennedy Blvd, Bayonne, New Jersey |
Phone Number | 2018230303 |
Fax Number | 2014366180 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Dasika R Vijaya |
Credentials | M.D. |
Telephone Number | 2018230303 |
NPI Number Detail
NPI Number | 1992713655 |
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Provider Enumeration Date | 2006-08-04 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 1160 Kennedy Blvd |
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City | Bayonne |
State | New Jersey (NJ) |
Post Code | 70023128 |
Phone Number | 2018230303 |
Fax Number | 2014366180 |
Provider's Primary Taxonomy Detail
Speciality | Neuromusculoskeletal Medicine, Sports Medicine |
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Taxonomy | 204C00000X |
Licence No | 25MA03289800 |
Definition: A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice |
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What is the unique 10-digit identifier code assigned to Bayside Medical And Rehabilitation Center Pc by the Centers for Medicare & Medicaid Services?
The Bayside Medical And Rehabilitation Center Pc has been issued the NPI (National Provider Identifier) 1992713655 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Bayside Medical And Rehabilitation Center Pc's facilities are situated?
The facilities of Bayside Medical And Rehabilitation Center Pc are physically located at the following address: 1160 Kennedy Blvd, Bayonne, NJ, 70023128.
What is Bayside Medical And Rehabilitation Center Pc's area of expertise and its corresponding taxonomy classification?
The Bayside Medical And Rehabilitation Center Pc's field of specialization is Neuromusculoskeletal Medicine, Sports Medicine, and it falls under the taxonomy code 204C00000X, which categorizes healthcare providers based on their areas of practice.
When was the Bayside Medical And Rehabilitation Center Pc's 1992713655 issued?
The Bayside Medical And Rehabilitation Center Pc's 1992713655 was issued on 2006-08-04.
As of what date were the Bayside Medical And Rehabilitation Center Pc's details last updated?
The information pertaining to the Bayside Medical And Rehabilitation Center Pc, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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