NPIMap

Organization Active NPI

Winslow Primary Care Associates, PC

  • Internal Medicine Physician
  • Sicklerville, NJ
National Provider Identifier
1649222373
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA04248000 Issued in NJ
Legal business name
WINSLOW PRIMARY CARE ASSOCIATES, PC
Practice address
524 Williamstown Rd
Suite a
Sicklerville, NJ 08081-1824
Phone
(856) 728-1181
Fax
(856) 728-1182
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2010

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

Authorized official

Name
Dr. Nicholas A Demaria, M.D.NPI 1942255286
Title
President
Phone
(856) 985-2500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 25MA04248000 NJ Primary

Addresses

Primary practice location

524 Williamstown Rd
Suite a
Sicklerville, NJ 08081-1824

Mailing address

524 Williamstown Rd
Suite a
Sicklerville, NJ 08081-1824
Phone (856) 728-1181

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2307672Winslow Primary Care Assoc524 Williamstown Rd, Sicklerville, NJ 08081Certificate of waiverJul 11, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263254400000",
    "number": "1649222373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 WILLIAMSTOWN RD",
            "address_2": "SUITE A",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080811824",
            "telephone_number": "856-728-1181",
            "fax_number": "856-728-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 WILLIAMSTOWN RD",
            "address_2": "SUITE A",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080811824",
            "telephone_number": "856-728-1181",
            "fax_number": "856-728-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINSLOW PRIMARY CARE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2010-01-12",
        "status": "A",
        "authorized_official_last_name": "DEMARIA",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-985-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04248000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sicklerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.