Organization Active NPI

Ez Health Medical Group East PC

  • Family Medicine Physician
  • Marlton, NJ
National Provider Identifier
1063205987
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EZ HEALTH MEDICAL GROUP EAST PC
Practice address
525 Route 73 N Ste 117
Marlton, NJ 08053-3422
Phone
(385) 327-2541
NPI assigned
May 23, 2025
Last updated
May 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nikhil Jhunjhnuwala
Title
Operations Adminstrator
Phone
(908) 698-1652

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

525 Route 73 N Ste 117
Marlton, NJ 08053-3422

Mailing address

525 Route 73 N Ste 117
Marlton, NJ 08053-3422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL, DC, NY, TX, DE, CA7 enrollments

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
O20251023003126 NJ Part B Supplier - Clinic/Group Practice 5799273447 Receives reassigned benefits from 9 practitioners
Practice locations: Marlton, NJ
O20260226002429 FL Part B Supplier - Clinic/Group Practice 5799273447 Receives reassigned benefits from 1 practitioner
Practice locations: Wimauma, FL
O20260309001460 DC Part B Supplier - Clinic/Group Practice 5799273447 Receives reassigned benefits from 1 practitioner
Practice locations: Alexandria, VA
O20260310000162 NY Part B Supplier - Clinic/Group Practice 5799273447 Receives reassigned benefits from 2 practitioners
Practice locations: Buffalo, NY; East Northport, NY
O20260312002382 TX Part B Supplier - Clinic/Group Practice 5799273447 Receives reassigned benefits from 1 practitioner
Practice locations: Fulshear, TX; Pearland, TX
O20260313000206 DE Part B Supplier - Clinic/Group Practice 5799273447 Receives reassigned benefits from 1 practitioner
Practice locations: Harrington, DE
O20260317002485 CA Part B Supplier - Clinic/Group Practice 5799273447 Receives reassigned benefits from 2 practitioners
Practice locations: Larkspur, CA; San Diego, CA

National Provider Directory

National Provider Directory

Locations

3129 Kingsley Dr
Ste 1940
Pearland, TX 77584
Phone (713) 489-2606

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1063205987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 ROUTE 73 N STE 117",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 ROUTE 73 N STE 117",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533422",
            "telephone_number": "385-327-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZ HEALTH MEDICAL GROUP EAST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "JHUNJHNUWALA",
        "authorized_official_first_name": "NIKHIL",
        "authorized_official_title_or_position": "OPERATIONS ADMINSTRATOR",
        "authorized_official_telephone_number": "908-698-1652"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.