Provider Demographics
NPI:1831363852
Name:NORTH JERSEY TRAUMA & CRITICAL CARE ASSOCIATES, LLC
Entity type:Organization
Organization Name:NORTH JERSEY TRAUMA & CRITICAL CARE ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARASWATI
Authorized Official - Middle Name:DEVI
Authorized Official - Last Name:DAYAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-996-2609
Mailing Address - Street 1:PO BOX 96
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07675-0096
Mailing Address - Country:US
Mailing Address - Phone:201-996-2900
Mailing Address - Fax:201-883-1268
Practice Address - Street 1:5 SUMMIT AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-8503
Practice Address - Country:US
Practice Address - Phone:201-996-2900
Practice Address - Fax:201-883-1268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-22
Last Update Date:2010-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical CareGroup - Multi-Specialty
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma SurgeryGroup - Multi-Specialty