Organization Active NPI

Terry a. Pakish M.D., P.C.

  • Primary Care Clinic/Center
  • Ewing, NJ
National Provider Identifier
1821304593
Registry record updated Aug 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
25MA04023300 Issued in NJ
Legal business name
TERRY A. PAKISH M.D., P.C.
Practice address
1901 N Olden Avenue Ext
Ste. 9a
Ewing, NJ 08618-2111
Phone
(609) 883-3444
Fax
(609) 883-6297
NPI assigned
Aug 19, 2010
Last updated
Aug 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2010

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

Authorized official

Name
Terry A Pakish, M.D.NPI 1508951740
Title
Owner
Phone
(609) 883-3444

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
Primary Care Clinic/Center 261QP2300X 25MA04023300 NJ Primary

Addresses

Primary practice location

1901 N Olden Avenue Ext
Ste. 9a
Ewing, NJ 08618-2111

Mailing address

1901 N Olden Avenue Ext
Ste. 9a
Ewing, NJ 08618-2111
Phone (609) 883-3444

National Provider Directory

National Provider Directory

Locations

1901 N Olden Avenue Ext
Ste 9A
Ewing, NJ 08618
Phone (609) 396-9782

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": "1282176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282176000000",
    "number": "1821304593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 N OLDEN AVENUE EXT",
            "address_2": "STE. 9A",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086182111",
            "telephone_number": "609-883-3444",
            "fax_number": "609-883-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N OLDEN AVENUE EXT",
            "address_2": "STE. 9A",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086182111",
            "telephone_number": "609-883-3444",
            "fax_number": "609-883-6297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY A. PAKISH M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-19",
        "last_updated": "2010-08-19",
        "status": "A",
        "authorized_official_last_name": "PAKISH",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-883-3444",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "25MA04023300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewing, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.