Provider Demographics
NPI:1568204691
Name:CJ HEALTH CENTER LLC
Entity type:Organization
Organization Name:CJ HEALTH CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARITZA
Authorized Official - Middle Name:NOHEMY
Authorized Official - Last Name:CRUZ HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:NP, RN
Authorized Official - Phone:201-868-8200
Mailing Address - Street 1:7332 KENNEDY BLVD FL 1
Mailing Address - Street 2:
Mailing Address - City:NORTH BERGEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07047-6796
Mailing Address - Country:US
Mailing Address - Phone:201-868-8200
Mailing Address - Fax:201-868-7900
Practice Address - Street 1:7332 KENNEDY BLVD
Practice Address - Street 2:
Practice Address - City:NORTH BERGEN
Practice Address - State:NJ
Practice Address - Zip Code:07047-6796
Practice Address - Country:US
Practice Address - Phone:201-868-8200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care