ELITE NU DIAMOND, INC. (NPI# 1063939908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063939908 |
| Entity Type | Organization |
| Organization Name | ELITE NU DIAMOND, INC. |
| Practice Address |
15 Brinkerhoff St Jersey City NJ 07304-2922 |
| Mailing Address |
482 Ocean Ave Jersey City NJ 07305-3321 |
| Practice Telephone | 2016544530 |
| Mailing Telephone | 2018527887 |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2017-08-22 |
| Authorized Official Name | AYEISHA C ROBINSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9084566687 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 00000000000000000000 | 05 |
| Street Address |
15 BRINKERHOFF ST |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07304-2922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790324085 | Marlon Q Lopez | Physical Therapist | 438 West Avenue, Virginia Cor Ege, Jersey, NJ 07304 | 2020-01-03 |
| 1033621842 | Dipty Mali | Physical Therapist | 520 Bergen Avenue, Jersey City, NJ 07304 | 2017-11-02 |
| 1861914434 | Eulalia Rivera | Licensed Practical Nurse | 140 Boyd Ave, Jersey City, NJ 07304 | 2017-07-14 |
| 1336509223 | Hyojin Park | Student in an Organized Health Care Education/Training Program | 935 Garfield Avenue, Metropolitan Family Health Network, Inc. - Jersey City, Jersey City, NJ 07304 | 2016-03-04 |
| 1962878413 | Hudson Milestones | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13-15 Miller Street, Jersey City, NJ 07304 | 2015-08-19 |
| 1336515881 | Hudson Milestones | Day Training, Developmentally Disabled Services | 355 Clendenny Avenue, Jersey City, NJ 07304 | 2015-08-19 |
| 1922482025 | Cosmo Pharmacy LLC | Pharmacy | 402 Pacific Avenue, Jersey City, NJ 07304 | 2015-07-17 |
| 1033513171 | Walgreens | Health Maintenance Organization | 2395 John Kennedy Blvd, Jersey City, NJ 07304 | 2014-10-17 |
| 1427460138 | Medical Claims Adjustment Pros | Spec/Tech, Health Info | 79 Jewett Avenue Ste 2, Jersey City, NJ 07304 | 2014-05-29 |
| 1801133103 | Hoboken Holistic Physical Therapy and Sports Medicine LLC | Acupuncturist | 701 State Route 440 Suite 21, Jersey City, NJ 07304 | 2013-01-08 |
| Find all providers in zip 07304 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316565575 | Aspire Therapy Services LLC | Clinic/Center | 101 Hudson St Ste 2152, Jersey City, NJ 07302-3907 | 2020-07-13 |
| 1114548500 | Ami Kang Therapy | Clinic/Center | 277 Grove St Ste 202, Jersey City, NJ 07302-3601 | 2020-04-27 |
| 1386289031 | Haven Adolescent Community Respite Center | Clinic/Center | 13 Roosevelt Ave, Jersey City, NJ 07304-1207 | 2019-11-15 |
| 1437791738 | Round Room Psychology, LLC | Clinic/Center | 101 Hudson St Ste 2175, Jersey City, NJ 07302-3915 | 2019-10-08 |
| 1891317327 | Total Care Family Services | Clinic/Center | 286 Halladay St, Jersey City, NJ 07304-3702 | 2020-05-06 |
| 1043867955 | Clear Path Counseling LLC | Clinic/Center | 101 Hudson St Fl 21, Jersey City, NJ 07302-3929 | 2019-08-26 |
| 1104136795 | Catholic Charities of The Archdiocese of Newark | Clinic/Center | 249 Virginia Ave, Jersey City, NJ 07304-3906 | 2010-10-15 |
| 1164753646 | Mount Carmel Guild Behavioral Health System | Clinic/Center | 285 Magnolia Ave, Jersey City, NJ 07306-3906 | 2010-01-22 |
| 1407181472 | Activity and Human Performance Center | Clinic/Center | 95 Martin Luther King Jr Dr, Jersey City, NJ 07305-3025 | 2009-10-08 |
| 1720140809 | Mount Carmel Guild Behavioral Healthcare | Clinic/Center | 249 Virginia Ave, Jersey City, NJ 07304-1423 | 2006-12-14 |
| Find all providers in JERSEY CITY | ||||
| City | JERSEY CITY |
| Zip Code | 07304 |
Please comment or provide details below to improve the information on ELITE NU DIAMOND, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.