Active NPIOrganization

Cathedral Physician Group, PC

Internal Medicine in Newark, New Jersey

NPI Number1780884031
Practice location
1160 Raymond Blvd, 8TH Floor - Physician Services, Newark, NJ 07102-4168
Fax
—
Last updated
July 24, 2007

Cathedral Physician Group, PC is a healthcare organization based in Newark, NJ. Cathedral Physician Group, PC practices in Newark, NJ. The NPI Number for Cathedral Physician Group, PC is 1780884031. The current practice location address for Cathedral Physician Group, PC is 1160 Raymond Blvd, 8TH Floor - Physician Services, Newark, NJ 07102-4168 and can be reached out via phone at 973-491-2958.

Provider Profile Details

NPI Number
1780884031
Provider Name
Cathedral Physician Group, PC
Provider Entity Type
Organization
Address
1160 Raymond Blvd, 8TH Floor - Physician Services, Newark, NJ 07102-4168
Phone Number
973-491-2958
Primary Taxonomy
Internal Medicine · 207R00000X
Organization Subpart
Yes
Parent Organization
Saint Michaels Medical Center
Authorized Official
Luis Bendezu, MD · Physician · 973-877-5188
Provider Enumeration Date
July 24, 2007
Last Update Date
July 24, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1160 Raymond Blvd
8TH Floor - Physician Services
Newark, NJ 07102-4168
City
Newark
Zip
07102-4168
Phone Number
973-491-2958
Newark, NJ 07102Get directions →

Provider Business Mailing Address Details

Address
111 Central Ave
1ST Floor
Newark, NJ 07102-1909
City
Newark
State
NJ
Zip
07102-1909
Phone Number
973-877-5000

License Information

Taxonomy (1)
Family Medicine · 207Q00000X
Taxonomy (2)
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 Cathedral Physician Group, PC?

The NPI number of Cathedral Physician Group, PC is 1780884031. It was assigned on July 24, 2007 and is currently active in the NPPES registry.

What is the specialty of Cathedral Physician Group, PC?

Cathedral Physician Group, PC is registered under the primary taxonomy Internal Medicine (code 207R00000X).

Where does Cathedral Physician Group, PC practice?

The practice location is 1160 Raymond Blvd, 8TH Floor - Physician Services, Newark, NJ 07102-4168. The office can be reached at 973-491-2958 (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 1780884031 directly on the NPPES registry website.

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