Squire Medical Group LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA05298400 Issued in NJ

Legal business name

SQUIRE MEDICAL GROUP LLC

Practice address

2279 State Highway 33
Suite 505
Hamilton Square, NJ 08690-1750

Phone

(609) 689-6949

Fax

(609) 689-6999

NPI assigned

Mar 31, 2008

Organization subpart

Yes

Parent organization

FINCH HEALTH INCAs reported in NPPES

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

Authorized official

Name

Mrs. Eidel Dacquel

Title

Office Manager

Phone

(609) 584-2021

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1356513352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 QUAKERBRIDGE RD",
            "address_2": "SUITE 6",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086191247",
            "telephone_number": "609-586-1777",
            "fax_number": "609-586-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2279 STATE HIGHWAY 33",
            "address_2": "SUITE 505",
            "city": "HAMILTON SQUARE",
            "state": "NJ",
            "postal_code": "086901750",
            "telephone_number": "609-689-6949",
            "fax_number": "609-689-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SQUIRE MEDICAL GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FINCH HEALTH INC",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "DACQUEL",
        "authorized_official_first_name": "EIDEL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "609-584-2021",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05298400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Miroslaw Siniakowicz, MD
• Soriero Family Chiropractic PA (Anthony C Soriero D.C. P.A.)
• Anthony C. Soriero, D.C.
• Mitchel B Sosis, MD
• Boris Spodik, DO
• Stacy Stewart, DMD
• Benjamin S Suaco, MD
• Barry Tannen, O.D.
• Paul F Varnis, DDS
• Massimo Vincenzo Verduci, DMD

• Internal Medicine Physician in Hamilton Square, NJ
• Providers in Hamilton Square, 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 Mar 31, 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.