Pedersen Family Medicine, LLC
Family Medicine in Vineland, New Jersey
1497123418- Practice location
- 1450 E Chestnut Ave, Building 3, Suite D, Vineland, NJ 08361-8467
- Phone
- 856-692-0050
- Fax
- 856-692-0081
- Last updated
- September 8, 2015
Pedersen Family Medicine, LLC is a healthcare organization based in Vineland, NJ. Pedersen Family Medicine, LLC practices in Vineland, NJ. The NPI Number for Pedersen Family Medicine, LLC is 1497123418 and holds a License No. 25MB09405100 (NJ). The current practice location address for Pedersen Family Medicine, LLC is 1450 E Chestnut Ave, Building 3, Suite D, Vineland, NJ 08361-8467 and can be reached out via phone at 856-692-0050 and via fax at 856-692-0081.
Provider Profile Details
- NPI Number
- 1497123418
- Provider Name
- Pedersen Family Medicine, LLC
- Provider Entity Type
- Organization
- Address
- 1450 E Chestnut Ave, Building 3, Suite D, Vineland, NJ 08361-8467
- Phone Number
- 856-692-0050
- Fax Number
- 856-692-0081
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Daniel A Pedersen, DO · Sole Member · 856-630-5506
- Provider Enumeration Date
- September 8, 2015
- Last Update Date
- September 8, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1450 E Chestnut Ave
Building 3, Suite D
Vineland, NJ 08361-8467 - City
- Vineland
- State
- New Jersey
- Zip
- 08361-8467
- Phone Number
- 856-692-0050
- Fax Number
- 856-692-0081
Provider Business Mailing Address Details
- Address
- 2743 Bethpage CT
Vineland, NJ 08361-7741 - City
- Vineland
- State
- NJ
- Zip
- 08361-7741
- Phone Number
- 856-630-5506
License Information
- License Number
- 25MB09405100
- License State
- NJ
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Vineland, NJ
View all Family Medicine providers in Vineland →- Alex Nowasell, DOFamily Medicine · NPI 1790180636
- Alexander Antonenko, MDFamily Medicine · NPI 1437312394
- Christopher Altamuro, DOFamily Medicine · NPI 1841287539
- Dilek S Delvers, MDFamily Medicine · NPI 1881620631
- Dr. Rekha Sehgal, MDFamily Medicine · NPI 1629019955
- Dr. Scott E Spagnolo-Hye, DOFamily Medicine · NPI 1053514653
Frequently Asked Questions
What is the NPI number of Pedersen Family Medicine, LLC?
The NPI number of Pedersen Family Medicine, LLC is 1497123418. It was assigned on September 8, 2015 and is currently active in the NPPES registry.
What is the specialty of Pedersen Family Medicine, LLC?
Pedersen Family Medicine, LLC is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MB09405100.
Where does Pedersen Family Medicine, LLC practice?
The practice location is 1450 E Chestnut Ave, Building 3, Suite D, Vineland, NJ 08361-8467. The office can be reached at 856-692-0050 (phone) or 856-692-0081 (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 1497123418 directly on the NPPES registry website.