VIRTUA MEDICAL GROUP PA NPI 1144770975

NPI Information

  • NPI: 1144770975
  • Provider Name: VIRTUA MEDICAL GROUP, PA
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • Other Name: VIRTUA URGENT CARE - MEDFORD
  • CLIA Number: 31D1072020
  • Address: 128 ROUTE 70 STE 1
    MEDFORD, NJ
    ZIP 08055
  • Phone: (609) 367-0900

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NPI Details

VIRTUA MEDICAL GROUP, PA is an urgent care clinic center in Medford, NJ. VIRTUA MEDICAL GROUP, PA NPI is 1144770975. The provider is registered as an organization entity type.
The provider Other Name Is Virtua Urgent Care - Medford.

The provider's business location address is:

128 ROUTE 70 STE 1
MEDFORD, NJ
ZIP 08055-371
Phone: (609) 367-0900
Fax: (609) 367-0901

The provider's authorized official is John Mark Matsinger .
The authorized official title is Evp; Chief Operating Officer and has the following contact phone number (856) 355-0340.

The CLIA number assigned to this NPI record is 31D1072020 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2016 and was last updated on 6/11/2024.

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
1261QU0200XClinic/CenterUrgent CareYes

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: 3/30/2025

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