Patient Care Medical Group PC

Organization Active NPI Geriatric Medicine (Internal Medicine) Physician · Woodbury, NJ

NPI 1891362364 · NPPES record last updated Apr 21, 2026

Key facts

NPI
1891362364
Entity type
Organization (NPI type 2)
Primary specialty
Geriatric Medicine (Internal Medicine) Physician 207RG0300X
Legal business name
PATIENT CARE MEDICAL GROUP PC
Practice address
467 Cooper St
Woodbury, NJ 08096-2519
Phone
(609) 385-2622
Fax
(856) 520-8239
NPI assigned
Jun 4, 2021
Organization subpart
No

Authorized official

Name
Dr. Andrew P Pecora, DO NPI 1376637553
Title
Practice Owner
Phone
(212) 734-6621

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners 82

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

View all 82

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20210824001982 NJ Part B Supplier - Clinic/Group Practice 8022413459 Receives reassigned benefits from 80 practitioners
Practice locations: East Orange, NJ; Kearny, NJ; Edison, NJ; Englewood Cliffs, NJ

National Provider Directory

Locations

1 Bay St
Glen Ridge, NJ 07028
Phone (717) 799-7665

4201 Route 9
Howell, NJ 07731

201 New Rd
Linwood, NJ 08221
Phone (609) 927-6131

1 Holtec Dr
Ste 203
Marlton, NJ 08053
Phone (856) 874-7800

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193200000X MULTI-SPECIALTY GROUP
152W00000X
Cardiovascular Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RC0000X
Geriatric Medicine (Internal Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RG0300X Yes
General Practice Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208D00000X

Addresses

Primary practice location

467 Cooper St
Woodbury, NJ 08096-2519

Mailing address

26 Main St
Edison, NJ 08837-3418
Phone (212) 734-6621

Other identifiers

IdentifierTypeStateIssuer
25MB05694000OtherNJMEDICAL LICENSE NUMBER

Electronic endpoints

TypeEndpointUseAffiliation
Other URL pending Other

Other providers in Woodbury, NJ

All providers in Woodbury, NJ · Geriatric Medicine (Internal Medicine) Physician in New Jersey

Sources for this page

Verify at the official NPI Registry.