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PATIENT CARE MEDICAL GROUP PC NPI 1891362364


NPI Information

NPI: 1891362364
Provider Name: PATIENT CARE MEDICAL GROUP PC
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
467 COOPER ST
WOODBURY, NJ
ZIP 08096
Phone: (609) 385-2622
Get Directions

PATIENT CARE MEDICAL GROUP PC is a geriatric medicine internal medicine in Woodbury, NJ. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. PATIENT CARE MEDICAL GROUP PC NPI is 1891362364. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

467 COOPER ST
WOODBURY, NJ
ZIP 08096-519
Phone: (609) 385-2622
Fax: (856) 520-8239

The provider's authorized official is Andrew P Pecora .
The authorized official title is Practice Owner and has the following contact phone number (609) 744-0050.

The enumeration date for this NPI number is 6/4/2021 and was last updated on 10/26/2022.


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
1152W00000XOptometristNo
2207RC0000XInternal MedicineCardiovascular DiseaseNo
3208D00000XGeneral PracticeNo
4207RG0300XInternal MedicineGeriatric MedicineYes

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
125MB05694000OTHERNEW JERSEYMEDICAL LICENSE NUMBER

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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