Jason T Pecarsky MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA070418 Issued in NJ

Legal business name

JASON T PECARSKY MD PA

Practice address

1401 Route 70 E
Suite 16
Cherry Hill, NJ 08034-2207

Phone

(856) 427-4180

Fax

(856) 427-4181

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jason T Pecarsky, M.D. PA

Title

Sole Proprietor

Phone

(856) 427-4180

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1982745725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 ROUTE 70 E",
            "address_2": "SUITE 16",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342207",
            "telephone_number": "856-427-4180",
            "fax_number": "856-427-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 ROUTE 70 E",
            "address_2": "SUITE 16",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342207",
            "telephone_number": "856-427-4180",
            "fax_number": "856-427-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON T PECARSKY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "PECARSKY",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "856-427-4180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D. PA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA070418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8640009",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.