Bordentown Family Practice PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MA50962 Issued in NJ

Legal business name

BORDENTOWN FAMILY PRACTICE PA

Practice address

163 Route 130
BLDG. 1 Suite B
Bordentown, NJ 08505-2248

Phone

(609) 298-2992

Fax

(609) 291-8359

NPI assigned

May 1, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Moishe Starkman, M.D.

Title

President

Phone

(609) 298-2992

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1477811107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 ROUTE 130",
            "address_2": "BLDG. 1 SUITE B",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085052248",
            "telephone_number": "609-298-2992",
            "fax_number": "609-291-8359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 ROUTE 130",
            "address_2": "BLDG. 1 SUITE B",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085052248",
            "telephone_number": "609-298-2992",
            "fax_number": "609-291-8359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORDENTOWN FAMILY PRACTICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "STARKMAN",
        "authorized_official_first_name": "MOISHE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-298-2992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "MA50962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8288402",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hillary Bilek, LCSW
• Mona Boktor
• Bordentown Counseling Center, LLC
• Bordentown Dental Arts, LLC
• Bordentown Family Dental PC
• Bordentown Regional School District
• Boyds Pharmacy of Bordentown Inc
• Brain Life Connection LLC
• William Burns-Lynch, MA, LPC
• Jerry Alfred Caci, M.D.

• Primary Care Clinic/Center in Bordentown, NJ
• Providers in Bordentown, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.