Active NPI
Intelecare, LLC.
- Family Medicine Physician
- Somerset, NJ
National Provider Identifier
1285152363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 26NJ00597900
- Legal business name
- INTELECARE, LLC.
- Practice address
- 134 Coburn LN
Somerset, NJ 08873-4769 - Phone
- (908) 636-3613
- Fax
- (908) 636-3613
- NPI assigned
- Sep 8, 2017
- Last updated
- Jun 16, 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
- Mona Lisa Hinds, NP
- Title
- Apn, Owner
- Phone
- (908) 636-3613
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 26NJ00597900 | NJ | |
| Family Medicine Physician | 207Q00000X | 26NJ00597900 | NJ | Primary |
Addresses
Primary practice location
134 Coburn LN
Somerset, NJ 08873-4769
Mailing address
134 Coburn LN
Somerset, NJ 08873-4769
Phone (908) 636-3613
National Provider Directory
National Provider DirectoryLocations
399 Hoover Ave
Ste 5
Bloomfield, NJ 07003
Phone (732) 800-4060
180 Talmadge Rd
Ste 646
Edison, NJ 08817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529107200000",
"number": "1285152363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 COBURN LN",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088734769",
"telephone_number": "908-636-3613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 COBURN LN",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088734769",
"telephone_number": "908-636-3613",
"fax_number": "908-636-3613"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTELECARE, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-08",
"last_updated": "2018-06-16",
"status": "A",
"authorized_official_last_name": "HINDS",
"authorized_official_first_name": "MONA",
"authorized_official_middle_name": "LISA",
"authorized_official_title_or_position": "APN, OWNER",
"authorized_official_telephone_number": "908-636-3613",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "NJ",
"license": "26NJ00597900",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "26NJ00597900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.