CLINTON HEALTH SERVICES LLC — NPI 1073232021 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care in CLINTON, NJ)

CMS-1500 Box 24J / 33a • NPI

1073232021

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

363LP2300X (CMS 50)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care

Box 32 Service Location & ZIP+4

29 HILLSIDE CT, CLINTON, NJ, 08809-1136

✓ 9-Digit EDI 837 ZIP+4 (08809-1136)

Practice Phone & Referral Fax

(908) 456-1216

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1073232021 (CLINTON HEALTH SERVICES LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1073232021` (NPI-2 Organization / Facility)
Provider / Legal Name	CLINTON HEALTH SERVICES LLC
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care NUCC Code: `363LP2300X` (Nurse Practitioner, Primary Care)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	29 HILLSIDE CT, CLINTON, NJ, 08809-1136
Practice Telephone / Fax	Tel: (908) 456-1216
Administrative Mailing Address	29 HILLSIDE CT, CLINTON, NJ, 08809-1136
Enumeration & Last Sync	Enumerated: 2022-08-23 \| CMS Record Updated: 2024-01-04
Authorized Official	MAY SALVACION MAGISTRADO (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

29 HILLSIDE CT, CLINTON, NJ, 08809-1136

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Plain-English Taxonomy & CMS Crosswalk (363LP2300X)

What Does Taxonomy Code 363LP2300X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LP2300X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 50 (Nurse Practitioner)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Nurse Practitioner, Primary Care for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CLINTON HEALTH SERVICES LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`363LP2300X` — Nurse Practitioner, Primary Care Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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CLINTON HEALTH SERVICES LLC (NPI #1073232021)