Am PM Primary Care

Organization Active NPI Primary Care Clinic/Center · Bergenfield, NJ

NPI 1083045694 · NPPES record last updated Nov 28, 2023

Key facts

NPI
1083045694
Entity type
Organization (NPI type 2)
Primary specialty
Primary Care Clinic/Center 261QP2300X
License
25MA06949100 (NJ)
Legal business name
AM PM PRIMARY CARE
Practice address
19 S Washington Ave
Bergenfield, NJ 07621-2324
Phone
(201) 387-0177
Fax
(201) 966-0588
NPI assigned
Dec 6, 2013
Organization subpart
No

Authorized official

Name
Dr. Wesley Thek, M.D.
Title
Direct Owner
Phone
(201) 923-1177

Practitioners 113

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 113

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20140317000013 NJ Part B Supplier - Clinic/Group Practice 1254562291 Receives reassigned benefits from 1 practitioner
Practice locations: Bergenfield, NJ

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 25MA06949100 NJ Yes

Addresses

Primary practice location

19 S Washington Ave
Bergenfield, NJ 07621-2324

Mailing address

19 S Washington Ave
Bergenfield, NJ 07621-2324
Phone (201) 387-0177

Other providers in Bergenfield, NJ

All providers in Bergenfield, NJ · Primary Care Clinic/Center in New Jersey

Sources for this page

Verify at the official NPI Registry.