Organization Active NPI

Penn Jersey Pulmonary Associates, PC

  • Pulmonary Disease Physician
  • Woodbury, NJ
National Provider Identifier
1184673204
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
PENN JERSEY PULMONARY ASSOCIATES, PC
Practice address
52 W Red Bank Ave
Suite 26
Woodbury, NJ 08096-1695
Phone
(856) 853-2025
Fax
(856) 845-8024
NPI assigned
May 8, 2006
Last updated
Mar 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Authorized official

Name
Eric V. Finkenstadt, M.D.NPI 1851340061
Title
President
Phone
(856) 853-2025

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X

Addresses

Primary practice location

52 W Red Bank Ave
Suite 26
Woodbury, NJ 08096-1695

Mailing address

52 W Red Bank Ave
Suite 26
Woodbury, NJ 08096-1695
Phone (856) 853-2025

Other identifiers 2

IdentifierTypeStateIssuer
1007778020017MedicaidPA
3547001MedicaidNJ

Other names 1

  • Charles R. Egoville, M.D., P.C. Former legal business name

National Provider Directory

National Provider Directory

Locations

52 W Red Bank Ave
Ste 26
Woodbury, NJ 08096
Phone (856) 853-2025

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1184673204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 W RED BANK AVE",
            "address_2": "SUITE 26",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961695",
            "telephone_number": "856-853-2025",
            "fax_number": "856-845-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 W RED BANK AVE",
            "address_2": "SUITE 26",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961695",
            "telephone_number": "856-853-2025",
            "fax_number": "856-845-8024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN JERSEY PULMONARY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "FINKENSTADT",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-853-2025",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007778020017",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3547001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charles R. Egoville, M.D., P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Woodbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.