Provider Demographics
NPI:1104346600
Name:HRT CENTER OF NEW JERSEY LLC
Entity type:Organization
Organization Name:HRT CENTER OF NEW JERSEY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEADER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:917-816-6649
Mailing Address - Street 1:176 ROUTE 9
Mailing Address - Street 2:
Mailing Address - City:ENGLISHTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-9218
Mailing Address - Country:US
Mailing Address - Phone:917-816-6649
Mailing Address - Fax:
Practice Address - Street 1:176 ROUTE 9
Practice Address - Street 2:
Practice Address - City:ENGLISHTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07726-9218
Practice Address - Country:US
Practice Address - Phone:917-816-6649
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center