Provider Demographics
NPI:1316238181
Name:DOWNTOWN OSTEOPOROSIS CENTER
Entity type:Organization
Organization Name:DOWNTOWN OSTEOPOROSIS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:XENACHIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-765-1166
Mailing Address - Street 1:158 MAIN ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-4104
Mailing Address - Country:US
Mailing Address - Phone:732-765-1166
Mailing Address - Fax:732-765-0027
Practice Address - Street 1:158 MAIN ST
Practice Address - Street 2:SUITE 100
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747
Practice Address - Country:US
Practice Address - Phone:732-765-1166
Practice Address - Fax:732-765-0027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-27
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJG93779Medicare UPIN