Active NPI
Optimum Personal Care Physicians LLC
- Hospice and Palliative Medicine (Family Medicine) Physician
- Marlton, NJ
National Provider Identifier
1134610967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- Legal business name
- OPTIMUM PERSONAL CARE PHYSICIANS LLC
- Practice address
- 538 Lippincott Dr BLDG E
Marlton, NJ 08053 - Phone
- (856) 489-0503
- Fax
- (856) 616-9259
- NPI assigned
- May 29, 2018
- 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
- Mark Testa
- Title
- Owner
- Phone
- (215) 990-2145
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | Primary |
Addresses
Primary practice location
538 Lippincott Dr BLDG E
Marlton, NJ 08053
Mailing address
538 Lippincott Dr BLDG E
Marlton, NJ 08053-4806
Phone (856) 489-0503
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
1256 Haddonfield Berlin Rd
Voorhees, NJ 08043
Phone (215) 990-2157
Practitioners & affiliated clinicians
Practitioners 15
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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-
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-
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-
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- Philadelphia, PA
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- Havertown, PA
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- Internal Medicine Physician
- Philadelphia, PA
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- Family Medicine Physician
- Yardley, PA
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665360000000",
"number": "1134610967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "538 LIPPINCOTT DR BLDG E",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534806",
"telephone_number": "856-489-0503",
"fax_number": "856-616-9259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "538 LIPPINCOTT DR BLDG E",
"city": "MARLTON",
"state": "NJ",
"postal_code": "08053",
"telephone_number": "856-489-0503",
"fax_number": "856-616-9259"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMUM PERSONAL CARE PHYSICIANS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-29",
"last_updated": "2022-10-10",
"certification_date": "2022-10-10",
"status": "A",
"authorized_official_last_name": "TESTA",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "215-990-2145"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marlton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.