Organization Active NPI

Glendale Primary Care LLC

  • Adult Medicine Physician
  • Bellmawr, NJ
National Provider Identifier
1588765291
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
25MB07937100 Issued in NJ
Legal business name
GLENDALE PRIMARY CARE LLC
Doing business as
Glendale Primary Care
Practice address
9 W Browning Rd # a
Bellmawr, NJ 08031-2297
Phone
(856) 931-6950
Fax
(856) 931-6951
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Matthew G Pinto, D.O.
Title
Owner/Physician
Phone
(856) 931-6950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X 25MB07937100 NJ Primary

Addresses

Primary practice location

9 W Browning Rd # a
Bellmawr, NJ 08031-2297

Mailing address

9 W Browning Rd # a
Bellmawr, NJ 08031-2297
Phone (856) 931-6950

Other names 1

  • Glendale Primary Care Doing business as

National Provider Directory

National Provider Directory

Locations

363 W Browning Rd
Bellmawr, NJ 08031
Phone (732) 614-6034

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1588765291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 W BROWNING RD # A",
            "city": "BELLMAWR",
            "state": "NJ",
            "postal_code": "080312297",
            "telephone_number": "856-931-6950",
            "fax_number": "856-931-6951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 W BROWNING RD # A",
            "city": "BELLMAWR",
            "state": "NJ",
            "postal_code": "080312297",
            "telephone_number": "856-931-6950",
            "fax_number": "856-931-6951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "PINTO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "856-931-6950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NJ",
            "license": "25MB07937100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glendale Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellmawr, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.