Organization Active NPI

Intelecare, LLC.

  • Family Medicine Physician
  • Somerset, NJ
National Provider Identifier
1285152363
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26NJ00597900 Issued in NJ
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.