Provider Demographics
NPI:1962709444
Name:SINAI MEDICAL CENTER OF JERSEY CITY LLC.
Entity type:Organization
Organization Name:SINAI MEDICAL CENTER OF JERSEY CITY LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BADAWY
Authorized Official - Middle Name:M
Authorized Official - Last Name:BADAWY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-985-9000
Mailing Address - Street 1:2738 KENNEDY BLVD
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-5508
Mailing Address - Country:US
Mailing Address - Phone:201-985-9000
Mailing Address - Fax:201-938-0666
Practice Address - Street 1:2738 KENNEDY BLVD
Practice Address - Street 2:1ST FLOOR
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-5508
Practice Address - Country:US
Practice Address - Phone:201-985-9000
Practice Address - Fax:201-938-0666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-18
Last Update Date:2011-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ06472400305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7028202Medicaid
NJBA891355Medicare UPIN