Center For Preventative Medicine Of New Jersey
Internal Medicine in South Orange, New Jersey
1083747299- Practice location
- 5 Stanley RD, South Orange, NJ 07079-2721
- Phone
- 973-762-6077
- Fax
- —
- Last updated
- April 16, 2013
Center For Preventative Medicine Of New Jersey is a healthcare organization based in South Orange, NJ. Center For Preventative Medicine Of New Jersey practices in South Orange, NJ. The NPI Number for Center For Preventative Medicine Of New Jersey is 1083747299 and holds a License No. 25MA04662500 (NJ). The current practice location address for Center For Preventative Medicine Of New Jersey is 5 Stanley RD, South Orange, NJ 07079-2721 and can be reached out via phone at 973-762-6077.
Provider Profile Details
- NPI Number
- 1083747299
- Provider Name
- Center For Preventative Medicine Of New Jersey
- Provider Entity Type
- Organization
- Address
- 5 Stanley RD, South Orange, NJ 07079-2721
- Phone Number
- 973-762-6077
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Kevin D Holder, MD · Owner · 973-762-6077
- Provider Enumeration Date
- March 14, 2007
- Last Update Date
- April 16, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5 Stanley RD
South Orange, NJ 07079-2721 - City
- South Orange
- State
- New Jersey
- Zip
- 07079-2721
- Phone Number
- 973-762-6077
Provider Business Mailing Address Details
- Address
- 5 Stanley RD
South Orange, NJ 07079-2721 - City
- South Orange
- State
- NJ
- Zip
- 07079-2721
- Phone Number
- 973-762-6077
License Information
- License Number (1)
- 25MA04662500
- License State (1)
- NJ
- Taxonomy (1)
- Family Medicine · 207Q00000X
- License Number (2)
- 25MA04002500
- License State (2)
- NJ
- Taxonomy (2)
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Center For Preventative Medicine Of New Jersey?
The NPI number of Center For Preventative Medicine Of New Jersey is 1083747299. It was assigned on March 14, 2007 and is currently active in the NPPES registry.
What is the specialty of Center For Preventative Medicine Of New Jersey?
Center For Preventative Medicine Of New Jersey is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MA04662500.
Where does Center For Preventative Medicine Of New Jersey practice?
The practice location is 5 Stanley RD, South Orange, NJ 07079-2721. The office can be reached at 973-762-6077 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083747299 directly on the NPPES registry website.