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PENN JERSEY PULMONARY ASSOCIATES PC NPI 1184673204


NPI Information

NPI: 1184673204
Provider Name: PENN JERSEY PULMONARY ASSOCIATES, PC

Former Legal Business Name: CHARLES R. EGOVILLE, M.D., P.C.

Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
52 W RED BANK AVE
SUITE 26
WOODBURY, NJ
ZIP 08096
Phone: (856) 853-2025
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PENN JERSEY PULMONARY ASSOCIATES, PC is a pulmonary disease internal medicine in Woodbury, NJ. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. PENN JERSEY PULMONARY ASSOCIATES, PC NPI is 1184673204. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Charles R. Egoville, M.d., P.c..

The provider's business location address is:

52 W RED BANK AVE
SUITE 26
WOODBURY, NJ
ZIP 08096-695
Phone: (856) 853-2025
Fax: (856) 845-8024

The provider's authorized official is Eric V. Finkenstadt .
The authorized official title is President and has the following contact phone number (856) 853-2025.

The enumeration date for this NPI number is 5/8/2006 and was last updated on 3/9/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0200XInternal MedicineCritical Care MedicineNo
2207RS0012XInternal MedicineSleep MedicineNo
3207RP1001XInternal MedicinePulmonary DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13547001MEDICAIDNEW JERSEY
21007778020017MEDICAIDPENNSYLVANIA
3101589FDGMEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
4047181PSWMEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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