Organization Active NPI

Ewing Internal Medicine Associates

  • Internal Medicine Physician
  • Ewing, NJ
National Provider Identifier
1437384567
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
EWING INTERNAL MEDICINE ASSOCIATES
Practice address
1450 Parkside Ave
Suite 21
Ewing, NJ 08638-2946
Phone
(609) 883-9800
Fax
(609) 883-4350
NPI assigned
May 19, 2009
Last updated
Aug 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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

Authorized official

Name
Nathan Bosk
Title
VP Ambulatory Services Division
Phone
(609) 278-5438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

1450 Parkside Ave
Suite 21
Ewing, NJ 08638-2946

Mailing address

P.O. Box 8500-8616
Philadelphia, PA 19178-8616
Phone (609) 815-7810

Other identifiers 1

IdentifierTypeStateIssuer
0203220MedicaidNJ

National Provider Directory

National Provider Directory

Locations

1450 Parkside Ave
Ste 21
Ewing, NJ 08638
Phone (609) 403-6715

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1437384567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 8500-8616",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191788616",
            "telephone_number": "609-815-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 PARKSIDE AVE",
            "address_2": "SUITE 21",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086382946",
            "telephone_number": "609-883-9800",
            "fax_number": "609-883-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EWING INTERNAL MEDICINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "BOSK",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "VP AMBULATORY SERVICES DIVISION",
        "authorized_official_telephone_number": "609-278-5438"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0203220",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewing, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.