Active NPI
Glendale Primary Care LLC
- Adult Medicine Physician
- Bellmawr, NJ
National Provider Identifier
1588765291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 25MB07937100
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.