Patient Care Medical Group Delaware LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PATIENT CARE MEDICAL GROUP DELAWARE LLC

Practice address

26 Main St
Edison, NJ 08837-3418

Phone

(609) 521-4746

NPI assigned

Sep 18, 2023

Organization subpart

No

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

Authorized official

Name

Andrew Pecora

Title

Owner

Phone

(609) 744-0050

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Practitioners 6

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

• Farida Abdul Malik, M.D.

  • Infectious Disease Physician
  • Oakhurst, NJ
  • NPI 1205123262

  DE

  Medicare reassignment Care Compare group NPD
• Ginna Elizabeth Keil, CRNP

  • Nurse Practitioner
  • Newark, DE
  • NPI 1104461763

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Arthur Steven Pecora, DO

  • Emergency Medicine Physician
  • Cape May Court House, NJ
  • NPI 1023053246

  DE

  Medicare reassignment NPD
• Brook Anderson Jackson, FNP

  • Family Nurse Practitioner
  • Milford, DE
  • NPI 1568842037
  Medicare reassignment NPD
• Margaret McGirr-Crowley, CRNP

  • Nurse Practitioner
  • Dover, DE
  • NPI 1285293779
  Medicare reassignment NPD
• Logan Patrick Mathews, PA-C

  • Physician Assistant
  • Lewes, DE
  • NPI 1396381695
  Medicare reassignment

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1487432936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 MAIN ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 MAIN ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373418",
            "telephone_number": "609-521-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT CARE MEDICAL GROUP DELAWARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-17",
        "status": "A",
        "authorized_official_last_name": "PECORA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-744-0050"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vishnubhai Chimanlal Patel, PHARMACIST
• Vishwa Patel
• Vrunda Patel
• Ketki Pathak, PT
• Manoj Dinkar Patharkar, M.D.
• Patient Care Medical Group Nevada LLC
• Patient Care Medical Group New York LLC
• Patient Care Medical Group Ohio LLC
• Patient Care Medical Group Pennsylvania LLC
• Patient Care Medical Group Texas LLC

• Family Medicine Physician in Edison, NJ
• Providers in Edison, 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 Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.