Organization Active NPI

Infectious Disease Consultants, PC

  • Infectious Disease Physician
  • Mercerville, NJ
National Provider Identifier
1093777187
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
INFECTIOUS DISEASE CONSULTANTS, PC
Practice address
1245 Whitehorse Mercerville Rd
Suite 411
Mercerville, NJ 08619-3831
Phone
(609) 581-2000
Fax
(609) 581-5450
NPI assigned
Apr 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Dr. Richard B Porwancher, MD
Title
President
Phone
(609) 581-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

1245 Whitehorse Mercerville Rd
Suite 411
Mercerville, NJ 08619-3831

Mailing address

1245 Whitehorse Mercerville Rd
Suite 411
Mercerville, NJ 08619-3831
Phone (609) 581-2000

Other identifiers 2

IdentifierTypeStateIssuer
DG9196OtherNJRAILROAD MEDICARE
3302709MedicaidNJ

National Provider Directory

National Provider Directory

Locations

1245 Whitehorse Mercerville Rd
Ste 411
Mercerville, NJ 08619
Phone (609) 581-2000

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1093777187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 WHITEHORSE MERCERVILLE RD",
            "address_2": "SUITE 411",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086193831",
            "telephone_number": "609-581-2000",
            "fax_number": "609-581-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WHITEHORSE MERCERVILLE RD",
            "address_2": "SUITE 411",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086193831",
            "telephone_number": "609-581-2000",
            "fax_number": "609-581-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASE CONSULTANTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "PORWANCHER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-581-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG9196",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3302709",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.