Organization Active NPI

HC Pennsylvania P.C.

  • Multi-Specialty Clinic/Center
  • Lakewood, NJ
National Provider Identifier
1508754227
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
HC PENNSYLVANIA P.C.
Practice address
15 America Ave Unit 103
Lakewood, NJ 08701-4583
Phone
(732) 631-4358
NPI assigned
Jun 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Authorized official

Name
Daniel Olivero, MDNPI 1902144512
Title
Owner
Phone
(732) 631-4358

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

15 America Ave Unit 103
Lakewood, NJ 08701-4583

Mailing address

15 America Ave Unit 103
Lakewood, NJ 08701-4583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251013002927 PA Part B Supplier - Clinic/Group Practice 8921503772 Receives reassigned benefits from 7 practitioners
Practice locations: Port Matilda, PA

National Provider Directory

National Provider Directory

Locations

15 America Ave
Unit 103
Lakewood, NJ 08701
Phone (732) 631-4358

Practitioners & affiliated clinicians

Practitioners 7

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": "1750723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1508754227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 AMERICA AVE UNIT 103",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 AMERICA AVE UNIT 103",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014583",
            "telephone_number": "732-631-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HC PENNSYLVANIA P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "OLIVERO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-631-4358",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.