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KALEIDOSCOPE MEDICAL ASSOCIATES PA NPI 1356377105


NPI Information

NPI: 1356377105
Provider Name: KALEIDOSCOPE MEDICAL ASSOCIATES, PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
410 COVENTRY DR
PHILLIPSBURG, NJ
ZIP 08865
Phone: (908) 454-9902
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KALEIDOSCOPE MEDICAL ASSOCIATES, PA is a family medicine in Phillipsburg, NJ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. KALEIDOSCOPE MEDICAL ASSOCIATES, PA NPI is 1356377105. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

410 COVENTRY DR
PHILLIPSBURG, NJ
ZIP 08865-978
Phone: (908) 454-9902
Fax: (908) 454-9905

The provider's authorized official is Ana P Gomes .
The authorized official title is President and has the following contact phone number (908) 454-9902.

The enumeration date for this NPI number is 6/23/2006 and was last updated on 2/8/2008.


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
1207Q00000XFamily Medicine25MA06829400NEW JERSEYNo
2207Q00000XFamily Medicine25MB077888000NEW JERSEYNo
3207Q00000XFamily MedicineMB065920NEW JERSEYNo
4363L00000XNurse PractitionerNN095449NJNEW JERSEYNo
5207Q00000XFamily MedicineMB064321NEW JERSEYYes

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
1119772OTHERPENNSYLVANIAMEDICARE PA
2G60187MEDICARE UPINNEW JERSEY
3080924MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIACECILIA RAI
48440506MEDICAIDNEW JERSEY
5046084MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEYKELLY HUDOCK
6G54773MEDICARE UPINNEW JERSEY
7P26362MEDICARE UPINNEW JERSEY
8H23044MEDICARE UPINNEW JERSEY
9901263MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEYTHADDEUS AVERSA
108313407MEDICAIDNEW JERSEY
117437307MEDICAIDNEW JERSEY
127387601MEDICAIDNEW JERSEY
13002345MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEYANA GOMES
14I10426MEDICARE UPINNEW JERSEY
15041113OTHERNEW JERSEYMEDICARE NJ
16085119MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEYCECILIA RAI
170057908MEDICAIDNEW 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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