NPIMap

Organization Active NPI

Seto Medical Providers,LLC

  • Internal Medicine Physician
  • West Deptford, NJ
National Provider Identifier
1922299288
Registry record updated Mar 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SETO MEDICAL PROVIDERS,LLC
Practice address
100 W Red Bank Ave
West Deptford, NJ 08096-3407
Phone
(856) 292-8216
Fax
(856) 848-3011
NPI assigned
Aug 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2016

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

Authorized official

Name
John Christopher Daly, M.D.NPI 1801835905
Title
Physcian
Phone
(856) 292-8216

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

100 W Red Bank Ave
West Deptford, NJ 08096-3407

Mailing address

PO Box 65
Collingswood, NJ 08108-0065
Phone (856) 292-8216

Other names 1

  • SETO MEDICAL PROVIDERS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080403000236 NJ Part B Supplier - Clinic/Group Practice 6507943305 Receives reassigned benefits from 12 practitioners
Practice locations: West Deptford, NJ

National Provider Directory

National Provider Directory

Locations

100 Red Bank Ave
West Deptford, NJ 08096
Phone (856) 292-8216

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457740800000",
    "number": "1922299288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081080065",
            "telephone_number": "856-292-8216",
            "fax_number": "856-848-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W RED BANK AVE",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080963407",
            "telephone_number": "856-292-8216",
            "fax_number": "856-848-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SETO MEDICAL PROVIDERS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2016-03-12",
        "status": "A",
        "authorized_official_last_name": "DALY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PHYSCIAN",
        "authorized_official_telephone_number": "856-292-8216",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SETO MEDICAL PROVIDERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Deptford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2016; 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.