Sicklerville Internal Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MB05722900 Issued in NJ

Legal business name

SICKLERVILLE INTERNAL MEDICINE

Practice address

1305 Kings Hwy N
Ste.1
Cherry Hill, NJ 08034-1919

Phone

(856) 429-7600

Fax

(856) 429-7130

NPI assigned

Jun 21, 2007

Organization subpart

No

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

Authorized official

Name

Joseph Conti, DO

Title

Senior Managing Partner

Phone

(856) 227-6575

Specialties & licenses 1

Addresses

Tax ID family

Sicklerville Internal Medicine3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Sicklerville Internal Medicine

  • Primary Care Clinic/Center
  • Sicklerville, NJ
  • NPI 1154483238
  NPD tax ID
• Sicklerville Internal Medicine

  • Internal Medicine Physician
  • Laurel Springs, NJ
  • NPI 1821045428
  NPD tax ID

Locations

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982800587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 KINGS HWY N",
            "address_2": "STE.1",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341919",
            "telephone_number": "856-429-7600",
            "fax_number": "856-429-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 KINGS HWY N",
            "address_2": "STE.1",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341919",
            "telephone_number": "856-429-7600",
            "fax_number": "856-429-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SICKLERVILLE INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONTI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "SENIOR MANAGING PARTNER",
        "authorized_official_telephone_number": "856-227-6575",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB05722900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chirag Shukla, PHARMD
• Dhara Mayank Shukla, PHARMD
• Jonathan Shulman
• Megan E Shulman, OT
• Gregory M. Shupik, D.M.D.
• Faisal Khursheed Siddiqi, M.D
• Alan Siedman, O.D.
• Scott L Siegal, DO
• Annastasia Sigafoos
• Jennifer Sigler

• 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 Aug 22, 2020; 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.