# 1STOP DX LLC

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

## Provider details

- **NPI number:** 1659950137
- **Authorized official:** JUAN PENA (MANAGING MEMBER)
- **Authorized official phone:** (908) 342-0857

## Contact information

- **Practice address:** 99 WALL ST, NEW YORK, NY 10005-4301
- **Practice address phone:** (908) 342-0857
- **Mailing address:** 129 WILLIAM ST, PERTH AMBOY, NJ 08861-3537
- **Mailing address phone:** (908) 342-0857

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 04/03/2021
- **Last updated:** 04/03/2021