Active NPI
Widercare Community Health of New Jersey PC
- Family Medicine Physician
- New Brunswick, NJ
National Provider Identifier
1780518910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- WIDERCARE COMMUNITY HEALTH OF NEW JERSEY PC
- Practice address
- 317 George St Ste 320
New Brunswick, NJ 08901-2091 - Phone
- (323) 776-3632
- NPI assigned
- Jun 11, 2026
- 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. Phillip A Mitchell, MD
- Title
- Owner/Authorized Official
- Phone
- (720) 480-9613
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X |
Addresses
Primary practice location
317 George St Ste 320
New Brunswick, NJ 08901-2091
Mailing address
1303 Pendleton St SE
Atlanta, GA 30316-3801
Phone (888) 689-4337
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785974400000",
"number": "1780518910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 PENDLETON ST SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303163801",
"telephone_number": "888-689-4337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 GEORGE ST STE 320",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089012091",
"telephone_number": "323-776-3632"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WIDERCARE COMMUNITY HEALTH OF NEW JERSEY PC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-11",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "PHILLIP",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "720-480-9613",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.