Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Integrated Medical Center of Bayonne, LLC

Organization Internal Medicine Physician · NPI 1417185711

Integrated Medical Center of Bayonne, LLC is an Internal Medicine Physician in Bayonne, New Jersey. Licensed in New Jersey. Registered with an NPI since 2009.

Licensed in
NJ
In the registry since
2009
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

449 Avenue C
Bayonne, NJ 07002-5105
Phone: (201) 823-2334
Fax: (201) 823-2344
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MA0033221 (NJ)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 25MA08448100 (NJ)

Record details

NPI number1417185711
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Juanita Jenyons — Officer · (917) 991-1220
NPI enumeratedJune 24, 2009
Last updated in NPPESJuly 16, 2009
Mailing address42 Quarry Dr, West Paterson, NJ 07424-4201

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