Mount Laurel Primary Care Physicians, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MOUNT LAUREL PRIMARY CARE PHYSICIANS, PC

Practice address

1000 Birchfield Drive
Suite 1004
Mount Laurel, NJ 08054

Phone

(856) 866-1557

Fax

(856) 231-7955

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Monica A Malley, CPM

Title

Practice Manager

Phone

(856) 866-1557

Specialties & licenses 1

Addresses

Other names 1

• Besen Goldstein Medical Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• Paul E Feldan, MD

  • Internal Medicine Physician
  • Mt. Laurel, NJ
  • NPI 1063517860

  Internal Medicine, NJ

  Medicare reassignment Care Compare group NPD
• Kenneth Brian Goldstein, MD.

  • Internal Medicine Physician
  • Mt. Laurel, NJ
  • NPI 1659473239

  Internal Medicine, NJ

  Medicare reassignment Care Compare group NPD
• Nina Kovalev, FNP

  • Nurse Practitioner
  • Hainesport, NJ
  • NPI 1104348648

  NJ

  Medicare reassignment NPD

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1508933516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BIRCHFIELD DRIVE",
            "address_2": "SUITE 1004",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "08054",
            "telephone_number": "856-866-1557",
            "fax_number": "856-231-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BIRCHFIELD DRIVE",
            "address_2": "SUITE 1004",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "08054",
            "telephone_number": "856-866-1557",
            "fax_number": "856-231-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT LAUREL PRIMARY CARE PHYSICIANS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "MALLEY",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "856-866-1557",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPM"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Besen Goldstein Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Henry Joseph Morris, PT, DPT
• Steven C Moshen, D.M.D.
• Mount Laurel Board of Education
• Mount Laurel Dental Associates LLC
• Mount Laurel Physical Therapy
• Mount Laurel Supermarket Inc
• Mount Laurel Township
• Move Well Mobile Physical Therapy LLC
• Mt Laurel Ctr for the Family
• Mt Laurel Endoscopy Center L P

• Internal Medicine Physician in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.