Active NPIOrganization

Essex Primary Care PC

Internal Medicine in Caldwell, New Jersey

NPI Number1205240025
Practice location
526 Bloomfield Ave Ste 103, Caldwell, NJ 07006-5525
Fax
973-559-6188
Last updated
June 5, 2024

Essex Primary Care PC is a healthcare organization based in Caldwell, NJ. Essex Primary Care PC practices in Caldwell, NJ. The NPI Number for Essex Primary Care PC is 1205240025 and holds a License No. 25MA08121700 (NJ). The current practice location address for Essex Primary Care PC is 526 Bloomfield Ave Ste 103, Caldwell, NJ 07006-5525 and can be reached out via phone at 973-239-1600 and via fax at 973-559-6188.

Provider Profile Details

NPI Number
1205240025
Provider Name
Essex Primary Care PC
Provider Entity Type
Organization
Address
526 Bloomfield Ave Ste 103, Caldwell, NJ 07006-5525
Phone Number
973-239-1600
Fax Number
973-559-6188
Primary Taxonomy
Internal Medicine · 207R00000X
Organization Subpart
No
Authorized Official
Dr. Mamatha R Gadarla, MD · Owner · 704-726-4358
Provider Enumeration Date
June 19, 2014
Last Update Date
June 5, 2024
Certification Date
June 5, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
526 Bloomfield Ave Ste 103
Caldwell, NJ 07006-5525
Zip
07006-5525
Phone Number
973-239-1600
Fax Number
973-559-6188
Caldwell, NJ 07006Get directions →

Provider Business Mailing Address Details

Address
825 Bloomfield Ave
Verona, NJ 07044-1366
City
Verona
State
NJ
Zip
07044-1366
Phone Number
973-794-1185
Fax Number
973-669-5988

License Information

License Number
25MA08121700
License State
NJ
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Essex Primary Care PC?

The NPI number of Essex Primary Care PC is 1205240025. It was assigned on June 19, 2014 and is currently active in the NPPES registry.

What is the specialty of Essex Primary Care PC?

Essex Primary Care PC is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MA08121700.

Where does Essex Primary Care PC practice?

The practice location is 526 Bloomfield Ave Ste 103, Caldwell, NJ 07006-5525. The office can be reached at 973-239-1600 (phone) or 973-559-6188 (fax).

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 1205240025 directly on the NPPES registry website.

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