Independent Geriatric Professionals of NJ PC

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

INDEPENDENT GERIATRIC PROFESSIONALS OF NJ PC

Practice address

902 Jacksonville Rd
Burlington, NJ 08016-3858

Phone

(609) 239-3900

Fax

(609) 239-3808

NPI assigned

Jul 28, 2020

Organization subpart

No

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

Authorized official

Name

William Vemula, MD

Title

President

Phone

(856) 294-8435

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595894400000",
    "number": "1194334870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 DEKALB PIKE STE 301",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194012007",
            "telephone_number": "484-965-9566",
            "fax_number": "484-965-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 JACKSONVILLE RD",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080163858",
            "telephone_number": "609-239-3900",
            "fax_number": "609-239-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT GERIATRIC PROFESSIONALS OF NJ PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A",
        "authorized_official_last_name": "VEMULA",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-294-8435",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Hurrelbrink, RN
• Janita Hutchinson, LPN
• Chrystel Hyman, PA
• Eunice Ijiekhuemen
• Independent Geriatric Professionals
• Brenda Ingenbrandt, LPN
• Innovative Life of New Jersey
• Aishah Jabree
• Stuart Jacob, DPM
• Ellen Jacobs, LPN

• Hospitalist Physician in Burlington, NJ
• Providers in Burlington, NJ by specialty
• Hospitalist Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.