Active NPIOrganization

Nj South Coast Medical Center Corp

Family Medicine in Clinton, New Jersey

NPI Number1952739690
Practice location
37 Main St Ste 5, Clinton, NJ 08809
Fax
—
Last updated
August 21, 2019

Nj South Coast Medical Center Corp is a healthcare organization based in Clinton, NJ. Nj South Coast Medical Center Corp practices in Clinton, NJ. The NPI Number for Nj South Coast Medical Center Corp is 1952739690 and holds a License No. 25MA09219400 (NJ). The current practice location address for Nj South Coast Medical Center Corp is 37 Main St Ste 5, Clinton, NJ 08809 and can be reached out via phone at 609-582-0899.

Provider Profile Details

NPI Number
1952739690
Provider Name
Nj South Coast Medical Center Corp
Provider Entity Type
Organization
Address
37 Main St Ste 5, Clinton, NJ 08809
Phone Number
609-582-0899
Primary Taxonomy
Family Medicine · 207Q00000X
Organization Subpart
No
Authorized Official
Ebere Ezeanya, MD · Medical Director · 973-704-5644
Provider Enumeration Date
October 15, 2013
Last Update Date
August 21, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
37 Main St Ste 5
Clinton, NJ 08809
Zip
08809
Phone Number
609-582-0899
Clinton, NJ 08809Get directions →

Provider Business Mailing Address Details

Address
4995 Derby Ln
Bethlehem, PA 18020-9418
City
Bethlehem
State
PA
Zip
18020-9418
Phone Number
973-704-5644

License Information

License Number
25MA09219400
License State
NJ
Taxonomy
Family Medicine · 207Q00000X · 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 Nj South Coast Medical Center Corp?

The NPI number of Nj South Coast Medical Center Corp is 1952739690. It was assigned on October 15, 2013 and is currently active in the NPPES registry.

What is the specialty of Nj South Coast Medical Center Corp?

Nj South Coast Medical Center Corp is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MA09219400.

Where does Nj South Coast Medical Center Corp practice?

The practice location is 37 Main St Ste 5, Clinton, NJ 08809. The office can be reached at 609-582-0899 (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 1952739690 directly on the NPPES registry website.

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