Basic Information
| Provider Information | |||||||||
| NPI: | 1992975726 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CAPE HEALTH SOLUTIONS, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 650 TOWN BANK RD | ||||||||
| Address2: | |||||||||
| City: | N CAPE MAY | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 082044409 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6098987447 | ||||||||
| FaxNumber: | 6098981912 | ||||||||
| Practice Location | |||||||||
| Address1: | 650 TOWN BANK RD | ||||||||
| Address2: | |||||||||
| City: | N CAPE MAY | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 082044409 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6098987447 | ||||||||
| FaxNumber: | 6098981912 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/07/2008 | ||||||||
| LastUpdateDate: | 03/11/2008 | ||||||||
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| AuthorizedOfficialLastName: | SALTZMAN | ||||||||
| AuthorizedOfficialFirstName: | MELISSA | ||||||||
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| AuthorizedOfficialTitleorPosition: | BILLING MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 6098983741 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 8563705 | 05 | NJ | MEDICAID |