Active NPIOrganization

Cathedral Physician Services, P.c.

Specialist in Newark, New Jersey

NPI Number1720032964
Practice location
111 Central Ave, 3RD Floor, Newark, NJ 07102-1909
Fax
973-877-2621
Last updated
August 22, 2020

Cathedral Physician Services, P.c. is a healthcare organization based in Newark, NJ. Cathedral Physician Services, P.c. practices in Newark, NJ. The NPI Number for Cathedral Physician Services, P.c. is 1720032964. The current practice location address for Cathedral Physician Services, P.c. is 111 Central Ave, 3RD Floor, Newark, NJ 07102-1909 and can be reached out via phone at 973-877-5300 and via fax at 973-877-2621.

Provider Profile Details

NPI Number
1720032964
Provider Name
Cathedral Physician Services, P.c.
Provider Entity Type
Organization
Address
111 Central Ave, 3RD Floor, Newark, NJ 07102-1909
Phone Number
973-877-5300
Fax Number
973-877-2621
Primary Taxonomy
Specialist · 174400000X
Organization Subpart
No
Authorized Official
Dr. Mark Connolly · Director · 973-877-5300
Provider Enumeration Date
May 20, 2006
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Central Ave
3RD Floor
Newark, NJ 07102-1909
City
Newark
Zip
07102-1909
Phone Number
973-877-5300
Fax Number
973-877-2621
Newark, NJ 07102Get directions →

Provider Business Mailing Address Details

Address
111 Central Ave
3RD Floor
Newark, NJ 07102-1909
City
Newark
State
NJ
Zip
07102-1909
Phone Number
973-877-5300
Fax Number
973-877-2621

License Information

Taxonomy
Specialist · 174400000X · 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 Cathedral Physician Services, P.c.?

The NPI number of Cathedral Physician Services, P.c. is 1720032964. It was assigned on May 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Cathedral Physician Services, P.c.?

Cathedral Physician Services, P.c. is registered under the primary taxonomy Specialist (code 174400000X).

Where does Cathedral Physician Services, P.c. practice?

The practice location is 111 Central Ave, 3RD Floor, Newark, NJ 07102-1909. The office can be reached at 973-877-5300 (phone) or 973-877-2621 (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 1720032964 directly on the NPPES registry website.

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