Port Tack, Llc.

NPI: 1417358557

Port Tack, Llc.

Q: What is Port Tack, Llc.'s NPI number?

Port Tack, Llc.'s NPI number is 1417358557, a unique 10-digit identifier issued by CMS.

Q: What does Port Tack, Llc. specialize in?

Port Tack, Llc. specializes in Specialty not listed, taxonomy code 332S00000X.

Q: Where does Port Tack, Llc. practice?

Port Tack, Llc. practices in Lakewood, NJ 08701-5946.

Q: When was Port Tack, Llc.'s NPI issued?

Port Tack, Llc.'s NPI was issued on September 9, 2014.

Q: What is Port Tack, Llc.'s provider type?

Port Tack, Llc. is an Organization under CMS NPI Type 2.

ActiveOrganizationSpecialty not listed

NPI issued: September 9, 2014

Quick Facts

NPI Number

1417358557

TypeOrganization

StatusActive

SpecialtySpecialty not listed

Taxonomy332S00000X — Specialty not listed

Phone

(732) 994-7550

StateNJ

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1417358557)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (September 9, 2014)

Data source: CMS NPPES

Provider Overview

PORT TACK, LLC. is a Healthcare provider based in Lakewood, NJ who has been registered with CMS since 2014. They are affiliated with Zounds Jersey Shore. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1417358557

Provider TypeOrganization

StatusActive

Enumeration DateSeptember 9, 2014

Practice Location

CityLakewood

StateNJ

ZIP Code08701-5946

Phone(732) 994-7550

Specialties & Licenses

★ Primary

SpecialtySpecialty not listed

Taxonomy Code332S00000X

License StateNJ

Mailing Address

CityLakewood

StateNJ

ZIP Code08701-5946

Phone(732) 994-7550

Same as practice location

Hospital & Organization Affiliations

🏢

Zounds Jersey Shore

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How to Use This NPI

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For Insurance Billing

Use NPI 1417358557 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1417358557for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1417358557 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

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