Provider Demographics
NPI:1427333426
Name:ARNALDO JIMENEZ,MD PC
Entity type:Organization
Organization Name:ARNALDO JIMENEZ,MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:ARNALDO
Authorized Official - Middle Name:M
Authorized Official - Last Name:JIMENEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-282-0500
Mailing Address - Street 1:PO BOX 323
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07930-0323
Mailing Address - Country:US
Mailing Address - Phone:908-282-0500
Mailing Address - Fax:908-282-1482
Practice Address - Street 1:240 WILLIAMSON ST
Practice Address - Street 2:SUITE 401
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07202-3674
Practice Address - Country:US
Practice Address - Phone:908-282-0500
Practice Address - Fax:908-282-1482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-21
Last Update Date:2011-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7449607Medicaid
NJG61177Medicare UPIN