Provider Demographics
NPI:1720642226
Name:ALLIEDMEDPLUS, LLC
Entity type:Organization
Organization Name:ALLIEDMEDPLUS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OWEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEGASPI
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:973-992-0733
Mailing Address - Street 1:600 S LIVINGSTON AVE STE 208
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-5415
Mailing Address - Country:US
Mailing Address - Phone:973-992-0733
Mailing Address - Fax:973-992-0734
Practice Address - Street 1:600 S LIVINGSTON AVE STE 208
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-5415
Practice Address - Country:US
Practice Address - Phone:973-992-0733
Practice Address - Fax:973-992-0734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-30
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty