# INTEGRATED MEDICAL CENTER OF BAYONNE,LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417185711
- **Authorized official:** DR. JUANITA JENYONS MD (OFFICER)
- **Authorized official phone:** (917) 991-1220

## Contact information

- **Practice address:** 449 AVENUE C, BAYONNE, NJ 07002-5105
- **Practice address phone:** (201) 823-2334
- **Practice address fax:** (201) 823-2344
- **Mailing address:** 42 QUARRY DR, WEST PATERSON, NJ 07424-4201
- **Mailing address phone:** (917) 991-1220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MA0033221 | NJ | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | 25MA08448100 | NJ | — |

## Other

- **Enumeration date:** 06/24/2009
- **Last updated:** 07/16/2009