Excellent Care Medical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EXCELLENT CARE MEDICAL PC

Practice address

318 Professional View Dr
Freehold, NJ 07728-7904

Phone

(732) 409-6440

Fax

(732) 409-6466

NPI assigned

Oct 14, 2009

Organization subpart

No

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

Authorized official

Name

Igor Kletsman, MD

Title

Owner

Phone

(917) 974-3001

Specialties & licenses 1

Addresses

Practitioners 1

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

• Eduard Fuzaylov

  • Hospitalist Physician
  • Manalapan, NJ
  • NPI 1891974507

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1093040727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 OCEANA DR E",
            "address_2": "APT 5I",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356681",
            "telephone_number": "732-409-6440",
            "fax_number": "932-409-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 PROFESSIONAL VIEW DR",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077287904",
            "telephone_number": "732-409-6440",
            "fax_number": "732-409-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENT CARE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "KLETSMAN",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-974-3001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther Ganz, LLC
• Eugene L. Desalvo, MD, PA
• Colleen Evans, LCSW
• Everas Community Services, Inc.
• Evo Physical Therapy & Performance LLC
• Excellent Way Counseling Services LLC
• Exspec Limited Liability Company
• Extensive Psychological Services,Inc
• Caitlin Mary Fabian, PA-C
• Lisa Fabio Ligammari, LCSW

• Internal Medicine Physician in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.