NPIMap

Organization Active NPI

Medical Group Associates, LLC

  • Internal Medicine Physician
  • Thorofare, NJ
National Provider Identifier
1356660427
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MAO5594500 Issued in NJ
Legal business name
MEDICAL GROUP ASSOCIATES, LLC
Practice address
400 Grove Road
Thorofare, NJ 08086-0037
Phone
(856) 845-8010
Fax
(856) 845-9398
NPI assigned
May 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2013

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

Authorized official

Name
Dr. Jose A. Camacho, M.D.
Title
Sole Owner
Phone
(856) 845-8010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X MAO5594500 NJ Primary

Addresses

Primary practice location

400 Grove Road
Thorofare, NJ 08086-0037

Mailing address

190 North Evergreen Avenue
Suite 102
Woodbury, NJ 08086-1862
Phone (856) 845-8010

National Provider Directory

National Provider Directory

Locations

190 N Evergreen Ave
Ste 102
Woodbury, NJ 08096
Phone (856) 546-3003

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1356660427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 NORTH EVERGREEN AVENUE",
            "address_2": "SUITE 102",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080861862",
            "telephone_number": "856-845-8010",
            "fax_number": "856-845-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 GROVE ROAD",
            "city": "THOROFARE",
            "state": "NJ",
            "postal_code": "080860037",
            "telephone_number": "856-845-8010",
            "fax_number": "856-845-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL GROUP ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-27",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "CAMACHO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "856-845-8010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MAO5594500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thorofare, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.