Telehealth Physician Network, PC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

TELEHEALTH PHYSICIAN NETWORK, PC

Practice address

100 Charles Ewing Blvd Ste 160
Ewing, NJ 08628-3456

Phone

(833) 484-6359

NPI assigned

Feb 13, 2023

Organization subpart

No

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

Authorized official

Name

Heather Geracie, RN

Title

Avp Clinical Excellence

Phone

(817) 242-0967

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1154028827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 S ADAMS ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044404",
            "telephone_number": "833-484-6359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHARLES EWING BLVD STE 160",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086283456",
            "telephone_number": "833-484-6359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELEHEALTH PHYSICIAN NETWORK, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "GERACIE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "AVP CLINICAL EXCELLENCE",
        "authorized_official_telephone_number": "817-242-0967",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher R Swanson, APRN, FNP
• Tandem, Inc
• Dianne Tanis
• Eslam Tawfik
• Katherine Tax, LSW
• Tempo Medical New Jersey PC
• Sandeep Teotia, D.M.D
• Terry a. Pakish M.D., P.C.
• Sterling Terry
• Tessaneka Hill LLC

• All providers in Ewing, NJ
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.