Provider Demographics
NPI:1871920082
Name:NEW JERSEY ORGAN & TISSUE SHARING NETWORK
Entity type:Organization
Organization Name:NEW JERSEY ORGAN & TISSUE SHARING NETWORK
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:SALVATORE
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:LAMANTIA
Authorized Official - Suffix:
Authorized Official - Credentials:CPA, CEBS
Authorized Official - Phone:201-982-6930
Mailing Address - Street 1:691 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:NEW PROVIDENCE
Mailing Address - State:NJ
Mailing Address - Zip Code:07974-1560
Mailing Address - Country:US
Mailing Address - Phone:908-516-5400
Mailing Address - Fax:908-516-5551
Practice Address - Street 1:691 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:NEW PROVIDENCE
Practice Address - State:NJ
Practice Address - Zip Code:07974-1560
Practice Address - Country:US
Practice Address - Phone:908-516-5400
Practice Address - Fax:908-516-5551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-02
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335U00000XSuppliersOrgan Procurement Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
31-P001OtherOPO NUMBER