Primary Care Affiliates of NJ, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA71893 Issued in NJ

Legal business name

PRIMARY CARE AFFILIATES OF NJ, PA

Practice address

227 E Somerdale Rd
Somerdale, NJ 08083-1105

Phone

(856) 784-2626

Fax

(856) 784-0375

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Jayesh PatelNPI 1932203171

Title

Vice President

Phone

(856) 784-2626

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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

• Jayesh Patel, M.D.

  • Internal Medicine Physician
  • Somerdale, NJ
  • NPI 1932203171
  Medicare reassignment NPD Authorized official
• Janice Ann Gault, MD

  • Ophthalmology Physician
  • Philadelphia, PA
  • NPI 1780673137
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1639260896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "SOMERDALE",
            "state": "NJ",
            "postal_code": "080830040",
            "telephone_number": "856-784-2626",
            "fax_number": "856-784-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 E SOMERDALE RD",
            "city": "SOMERDALE",
            "state": "NJ",
            "postal_code": "080831105",
            "telephone_number": "856-784-2626",
            "fax_number": "856-784-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE AFFILIATES OF NJ, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JAYESH",
        "authorized_official_title_or_position": "VICE  PRESIDENT",
        "authorized_official_telephone_number": "856-784-2626"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA71893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theodore Peterson III, LPC, NCC
• Stanley B. Piltin, D.C.
• Pinnacle Treatment Centers NJ-III, LLC
• Pinnacle Treatment Centers NJ-III, LLC
• Price Social Services, Inc.
• Providence Clinical Lab, LLC
• Rapid Medical Transportation LLC
• Francine J Rebhun, DMD
• Cynthia Laverne Richardson
• Rite Aid of New Jersey Inc

• Internal Medicine Physician in Somerdale, NJ
• Providers in Somerdale, 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 Jul 31, 2007; 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.