360 New Jersey Medical Group Professional Corporation
Family Medicine in Elizabeth, New Jersey
1568394765- Practice location
- 1139 E Jersey St, Elizabeth, NJ 07201-2473
- Phone
- 551-372-9260
- Fax
- —
- Last updated
- June 9, 2026
360 New Jersey Medical Group Professional Corporation is a healthcare organization based in Elizabeth, NJ. 360 New Jersey Medical Group Professional Corporation practices in Elizabeth, NJ. The NPI Number for 360 New Jersey Medical Group Professional Corporation is 1568394765. The current practice location address for 360 New Jersey Medical Group Professional Corporation is 1139 E Jersey St, Elizabeth, NJ 07201-2473 and can be reached out via phone at 551-372-9260.
Provider Profile Details
- NPI Number
- 1568394765
- Provider Name
- 360 New Jersey Medical Group Professional Corporation
- Provider Entity Type
- Organization
- Address
- 1139 E Jersey St, Elizabeth, NJ 07201-2473
- Phone Number
- 551-372-9260
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Organization Subpart
- No
- Authorized Official
- Mr. James Villar · Administrator · 773-645-1192
- Provider Enumeration Date
- June 1, 2026
- Last Update Date
- June 9, 2026
- Certification Date
- June 9, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1139 E Jersey St
Elizabeth, NJ 07201-2473 - City
- Elizabeth
- State
- New Jersey
- Zip
- 07201-2473
- Phone Number
- 551-372-9260
Provider Business Mailing Address Details
- Address
- 971 US Highway 202 N Ste N
Branchburg, NJ 08876-3757 - City
- Branchburg
- State
- NJ
- Zip
- 08876-3757
- Phone Number
- 551-372-9260
License Information
- Taxonomy (1)
- Integrative Medicine · 202D00000X
- Taxonomy (2)
- 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 Elizabeth, NJ
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Frequently Asked Questions
What is the NPI number of 360 New Jersey Medical Group Professional Corporation?
The NPI number of 360 New Jersey Medical Group Professional Corporation is 1568394765. It was assigned on June 1, 2026 and is currently active in the NPPES registry.
What is the specialty of 360 New Jersey Medical Group Professional Corporation?
360 New Jersey Medical Group Professional Corporation is registered under the primary taxonomy Family Medicine (code 207Q00000X).
Where does 360 New Jersey Medical Group Professional Corporation practice?
The practice location is 1139 E Jersey St, Elizabeth, NJ 07201-2473. The office can be reached at 551-372-9260 (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 1568394765 directly on the NPPES registry website.