Active NPI
Infectious Disease Consultants, PC
- Infectious Disease Physician
- Mercerville, NJ
National Provider Identifier
1093777187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DG9196 | Other | NJ | RAILROAD MEDICARE |
| 3302709 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Infectious Disease Physician
- Southampton, PA
- NPI 1215943907
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.