Pleasant Run Family Physicians

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PLEASANT RUN FAMILY PHYSICIANS

Practice address

925 US Highway 202
Neshanic Station, NJ 08853-3503

Phone

(908) 788-9468

Fax

(908) 788-5720

NPI assigned

Jan 8, 2007

Last updated

Aug 22, 2020By 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

Mary Detommaso, RN

Title

Office Manager

Phone

(908) 788-9468

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366590945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 US HIGHWAY 202",
            "city": "NESHANIC STATION",
            "state": "NJ",
            "postal_code": "088533503",
            "telephone_number": "908-788-9468",
            "fax_number": "908-788-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 US HIGHWAY 202",
            "city": "NESHANIC STATION",
            "state": "NJ",
            "postal_code": "088533503",
            "telephone_number": "908-788-9468",
            "fax_number": "908-788-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT RUN FAMILY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DETOMMASO",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "908-788-9468",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3264505",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Joy Dellavalle, DO
• Lotus Health and Wellness LLC
• Claire Babcock O'Connell, PA-C
• Jill Karen Panico
• Alexa Gina Perez, PA-C
• Primary Care Partners, LLC (Pleasant Run Family Physicians- Primary Care Partners Affiliate)
• Morgan Quinn
• Damian F Rigatti, DO
• Uma Devi Sachdeva, RPH
• Carol J Sadley, PA-C

• Family Medicine Physician in Neshanic Station, NJ
• Providers in Neshanic Station, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.