Parkside Adolescent and Adult Medical Clinic

Primary specialty

Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X

License

25MAO8519200 Issued in NJ

Legal business name

PARKSIDE ADOLESCENT AND ADULT MEDICAL CLINIC

Practice address

1300 Princess Ave
Camden, NJ 08103-2911

Phone

(856) 964-5569

Fax

(856) 964-0744

NPI assigned

May 29, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Sherita Monai Latimore-Collier, MDNPI 1952346108

Title

MD

Phone

(856) 964-5569

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.

• Sherita Latimore-Collier, M.D.

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1952346108

  Internal Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1124254552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 PRINCESS AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081032911",
            "telephone_number": "856-964-5569",
            "fax_number": "856-964-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 PRINCESS AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081032911",
            "telephone_number": "856-964-5569",
            "fax_number": "856-964-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSIDE ADOLESCENT AND ADULT MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-29",
        "last_updated": "2009-07-30",
        "status": "A",
        "authorized_official_last_name": "LATIMORE-COLLIER",
        "authorized_official_first_name": "SHERITA",
        "authorized_official_middle_name": "MONAI",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "856-964-5569",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "NJ",
            "license": "25MAO8519200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vidhi Parikh, M.D.
• Laura Park, PSYD
• Ryan Park, MD
• Sunny Park, M.D.
• Pearl Parker
• Nicole A Parone, NP
• Alexandra Paros
• Helen Laura Partridge, MD
• Eric Lansing Parvis, M.D.
• Kathryn Grace Paschall, LCSW

• Adolescent Medicine (Internal Medicine) Physician in Camden, NJ
• Providers in Camden, NJ by specialty
• Adolescent Medicine (Internal Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.