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Organization

SIPARADIGM LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RUTH AMICOSANTE (BILLING MANAGER)
(650) 395-9124
Entity
Organization

Contact information

Practice address
25 RIVERSIDE DR STE 2, PINE BROOK, NJ 07058-9391
(201) 599-9044
(201) 599-9066
Mailing address
25 RIVERSIDE DR STE 2, PINE BROOK, NJ 07058-9391
(201) 599-9044
(201) 599-9066

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
00007503
NJ
291U00000X
Clinical Medical Laboratory
25MA05880800
NJ
291U00000X
Clinical Medical Laboratory

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000039833
BOSTON MEDICAL CENTER
05
0066222
NJ
01
250588080
HIPUSA
01
269580
AMERIGROUP
01
427253
TUFTS HEALTH PLAN
01
60013223
HORIZON NJ HEALTH
01
7262661
AETNA
01
9759537
GHI
01
A3638184
OXFORD HEALTH PLAN
01
J35526
HEALTHNET
01
P00213695
RAILROAD
01
SI0S64U020
EMPIRE BCBS
Enumeration date
05/09/2007
Last updated
03/30/2023
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