NPIMap

Organization Active NPI

Patient Care Medical Group PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Woodbury, NJ
National Provider Identifier
1891362364
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 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
Last updated
Apr 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Authorized official

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

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X
Cardiovascular Disease Physician 207RC0000X
Geriatric Medicine (Internal Medicine) Physician 207RG0300X Primary
General Practice Physician 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 1

IdentifierTypeStateIssuer
25MB05694000OtherNJMEDICAL LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL pending Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

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

National Provider Directory

Member organizations 1

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

Practitioners & affiliated clinicians

Practitioners 82

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.

View all 82

NPI Registry JSON

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1891362364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 MAIN ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373418",
            "telephone_number": "212-734-6621",
            "fax_number": "856-520-8239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 COOPER ST",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080962519",
            "telephone_number": "609-385-2622",
            "fax_number": "856-520-8239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT CARE MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-04",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "PECORA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "212-734-6621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "25MB05694000",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "pending",
            "affiliation": "N",
            "endpointDescription": "Pending",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "pending",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "pending",
            "address_1": "467 Cooper St",
            "city": "Woodbury",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080962519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.