Vitas Health Services of New Jersey, P.a.

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

Legal business name

VITAS HEALTH SERVICES OF NEW JERSEY, P.A.

Doing business as

Palliative Medical Associates of New Jersey

Practice address

521 Fellowship Rd
Mount Laurel, NJ 08054-3413

Phone

(856) 914-2865

NPI assigned

Mar 23, 2018

Last updated

Feb 6, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa Davis

Title

Credentialing Analyst

Phone

(513) 618-2243

Specialties & licenses 2

Addresses

Other names 1

• Palliative Medical Associates of New Jersey Doing business as

Locations

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1952805806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 NW 33RD AVE STE 106",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333096349",
            "telephone_number": "215-283-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 FELLOWSHIP RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543413",
            "telephone_number": "856-914-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAS HEALTH SERVICES OF NEW JERSEY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-23",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CREDENTIALING ANALYST",
        "authorized_official_telephone_number": "513-618-2243"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palliative Medical Associates of New Jersey",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vip Rheumatology
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• Virtua Home Care -Commumity Nursing Services Inc
• Virtua Medical Group, PA (Rowan Medicine Psychiatry - Mount Laurel, an affiliate of VMG)
• Visionary Eye Care Associates LLC
• Vitas Healthcare Corporation Atlantic
• Jeanna Vizzard, PT
• Vri, Inc (Virtua Home Caregivers)
• Wal-Mart Stores East LP
• Walgreen Co (Walgreens #07233)

• Hospice and Palliative Medicine (Internal Medicine) Physician in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.