Provider Demographics
NPI:1588355705
Name:HEALTH EXPRESS NJ LLC
Entity type:Organization
Organization Name:HEALTH EXPRESS NJ LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CIRONE
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C, PHD
Authorized Official - Phone:973-446-6606
Mailing Address - Street 1:31 PLAYERS BLVD
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07860-1900
Mailing Address - Country:US
Mailing Address - Phone:973-347-4453
Mailing Address - Fax:
Practice Address - Street 1:43 HAMPTON HOUSE RD
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860-1408
Practice Address - Country:US
Practice Address - Phone:973-446-6606
Practice Address - Fax:973-446-6608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-18
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical