| Priority Healthcare Center | |
|
2810 Morris Ave Union NJ 07083-4850 | |
| (201) 794-4500 | |
| Not Available |
| Full Name | Priority Healthcare Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2810 Morris Ave, Union, New Jersey |
| Authorized Official Name and Position | Roth Riley (DIRECTOR) |
| Authorized Official Contact | 9082587014 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Priority Healthcare Center 2810 Morris Ave Union NJ 07083-4850 Ph: () - | Priority Healthcare Center 2810 Morris Ave Union NJ 07083-4850 Ph: (201) 794-4500 |
| NPI Number | 1700465457 |
|---|---|
| Provider Enumeration Date | 04/07/2021 |
| Last Update Date | 07/20/2021 |
| Medicare PECOS PAC ID | 2567862295 |
|---|---|
| Medicare Enrollment ID | O20210616003005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700465457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Roth Riley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831241264 PECOS PAC ID: 6608814827 Enrollment ID: I20150521002290 |
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