Active NPIOrganization

Ivy Medical PC

Clinic/Center, Primary Care in Neptune, New Jersey

NPI Number1770235491
Practice location
3600 Route 66 Ste 150, Neptune, NJ 07753-2645
Fax
—
Last updated
January 24, 2022

Ivy Medical PC is a healthcare organization based in Neptune, NJ. Ivy Medical PC practices in Neptune, NJ. The NPI Number for Ivy Medical PC is 1770235491. The current practice location address for Ivy Medical PC is 3600 Route 66 Ste 150, Neptune, NJ 07753-2645 and can be reached out via phone at 415-853-9979.

Provider Profile Details

NPI Number
1770235491
Provider Name
Ivy Medical PC
Provider Entity Type
Organization
Address
3600 Route 66 Ste 150, Neptune, NJ 07753-2645
Phone Number
415-853-9979
Primary Taxonomy
Clinic/Center, Primary Care · 261QP2300X
Organization Subpart
No
Authorized Official
Jonah Mink, MD · President · 415-853-9979
Provider Enumeration Date
January 24, 2022
Last Update Date
January 24, 2022
Certification Date
January 24, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
3600 Route 66 Ste 150
Neptune, NJ 07753-2645
Zip
07753-2645
Phone Number
415-853-9979
Neptune, NJ 07753Get directions →

Provider Business Mailing Address Details

Address
3600 Route 66 Ste 150
Neptune, NJ 07753-2645
City
Neptune
State
NJ
Zip
07753-2645

License Information

Taxonomy
Clinic/Center, Primary Care · 261QP2300X · 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 Ivy Medical PC?

The NPI number of Ivy Medical PC is 1770235491. It was assigned on January 24, 2022 and is currently active in the NPPES registry.

What is the specialty of Ivy Medical PC?

Ivy Medical PC is registered under the primary taxonomy Clinic/Center, Primary Care (code 261QP2300X).

Where does Ivy Medical PC practice?

The practice location is 3600 Route 66 Ste 150, Neptune, NJ 07753-2645. The office can be reached at 415-853-9979 (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 1770235491 directly on the NPPES registry website.

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