Active NPIOrganization

Optimo Physician Associates

Internal Medicine in Sewell, New Jersey

NPI Number1619294170
Practice location
438 Ganttown RD, Suite B-1, Sewell, NJ 08080-2341
Fax
856-258-4557
Last updated
July 23, 2013

Optimo Physician Associates is a healthcare organization based in Sewell, NJ. Optimo Physician Associates practices in Sewell, NJ. The NPI Number for Optimo Physician Associates is 1619294170 and holds a License No. 25MA05828000 (NJ). The current practice location address for Optimo Physician Associates is 438 Ganttown RD, Suite B-1, Sewell, NJ 08080-2341 and can be reached out via phone at 609-744-4555 and via fax at 856-258-4557.

Provider Profile Details

NPI Number
1619294170
Provider Name
Optimo Physician Associates
Provider Entity Type
Organization
Address
438 Ganttown RD, Suite B-1, Sewell, NJ 08080-2341
Phone Number
609-744-4555
Fax Number
856-258-4557
Primary Taxonomy
Internal Medicine · 207R00000X
Organization Subpart
No
Authorized Official
Joseph Anthony Libby, MD · Owner · 609-744-4555
Provider Enumeration Date
April 23, 2010
Last Update Date
July 23, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
438 Ganttown RD
Suite B-1
Sewell, NJ 08080-2341
City
Sewell
Zip
08080-2341
Phone Number
609-744-4555
Fax Number
856-258-4557
Sewell, NJ 08080Get directions →

Provider Business Mailing Address Details

Address
438 Ganttown RD
Suite B-1
Sewell, NJ 08080-2341
City
Sewell
State
NJ
Zip
08080-2341
Phone Number
609-744-4555
Fax Number
856-258-4557

License Information

License Number
25MA05828000
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 Optimo Physician Associates?

The NPI number of Optimo Physician Associates is 1619294170. It was assigned on April 23, 2010 and is currently active in the NPPES registry.

What is the specialty of Optimo Physician Associates?

Optimo Physician Associates is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MA05828000.

Where does Optimo Physician Associates practice?

The practice location is 438 Ganttown RD, Suite B-1, Sewell, NJ 08080-2341. The office can be reached at 609-744-4555 (phone) or 856-258-4557 (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 1619294170 directly on the NPPES registry website.

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