Active NPIOrganization

Voorhees Medical Home

Pediatrics in Voorhees, New Jersey

NPI Number1699213165
Practice location
100 Route 73, Voorhees, NJ 08043-9575
Fax
856-753-1137
Last updated
February 5, 2017

Voorhees Medical Home is a healthcare organization based in Voorhees, NJ. Voorhees Medical Home practices in Voorhees, NJ. The NPI Number for Voorhees Medical Home is 1699213165 and holds a License No. 25MA06842200 (NJ). The current practice location address for Voorhees Medical Home is 100 Route 73, Voorhees, NJ 08043-9575 and can be reached out via phone at 856-753-7374 and via fax at 856-753-1137.

Provider Profile Details

NPI Number
1699213165
Provider Name
Voorhees Medical Home
Provider Entity Type
Organization
Address
100 Route 73, Voorhees, NJ 08043-9575
Phone Number
856-753-7374
Fax Number
856-753-1137
Primary Taxonomy
Pediatrics · 208000000X
Organization Subpart
No
Authorized Official
Dr. Shahram Jay Mirmanesh, MD · Managing Partner · 609-238-0870
Other Names
Mirmanesh Medicine (Doing Business As)
Provider Enumeration Date
February 5, 2017
Last Update Date
February 5, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Route 73
Voorhees, NJ 08043-9575
Zip
08043-9575
Phone Number
856-753-7374
Fax Number
856-753-1137
Voorhees, NJ 08043Get directions →

Provider Business Mailing Address Details

Address
100 Route 73
Voorhees, NJ 08043-9575
City
Voorhees
State
NJ
Zip
08043-9575
Phone Number
856-753-7374
Fax Number
856-753-1137

License Information

License Number (1)
25MA06842200
License State (1)
NJ
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
25MA09469200
License State (2)
NJ
Taxonomy (2)
Pediatrics · 208000000X
License Number (3)
25MA09026400
License State (3)
NJ
Taxonomy (3)
Pediatrics · 208000000X · 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 Voorhees Medical Home?

The NPI number of Voorhees Medical Home is 1699213165. It was assigned on February 5, 2017 and is currently active in the NPPES registry.

What is the specialty of Voorhees Medical Home?

Voorhees Medical Home is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number 25MA06842200.

Where does Voorhees Medical Home practice?

The practice location is 100 Route 73, Voorhees, NJ 08043-9575. The office can be reached at 856-753-7374 (phone) or 856-753-1137 (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 1699213165 directly on the NPPES registry website.

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