Moorestown Internal Medicine, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MOORESTOWN INTERNAL MEDICINE, P.C.

Practice address

147 E 3Rd St Ste 1
Moorestown, NJ 08057-2924

Phone

(856) 234-7754

Fax

(856) 234-2290

NPI assigned

Dec 1, 2006

Last updated

Feb 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David D Gross, M.D.

Title

President

Phone

(856) 234-7754

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 2

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.

• Prathibha Potharlanka, M.D.

  • Hospitalist Physician
  • Willingboro, NJ
  • NPI 1295761690

  Internal Medicine

  NPD (past)
• Yekaterina Pressman, DO

  • Adult Medicine Physician
  • Sarasota, FL
  • NPI 1821069675
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1255409868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 E 3RD ST STE 1",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080572924",
            "telephone_number": "856-234-7754",
            "fax_number": "856-234-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 E 3RD ST STE 1",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080572924",
            "telephone_number": "856-234-7754",
            "fax_number": "856-234-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORESTOWN INTERNAL MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-234-7754",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4621000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI0287",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH KHPE IND BC",
            "identifier": "0500085001",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "003106",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Moorestown Dermatology Associates PA
• Moorestown Eye Associates
• Moorestown Family Practice, P.C.
• Moorestown First Aid and Emergency Squad, Inc. (Moorestown Emergency Medical Services)
• Moorestown Integrative Wellness Inc.
• Moorestown Operator LLC
• Moorestown Pediatrics, LLP
• Moorestown Primary Care
• Moorestown Smile Center LLC
• Moorestown Township Public Schools

• Internal Medicine Physician in Moorestown, NJ
• Providers in Moorestown, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.