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SOUTH JERSEY CHEST DISEASESPA NPI 1164503363


NPI Information

NPI: 1164503363
Provider Name: SOUTH JERSEY CHEST DISEASES,PA
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

CLIA Number: 31D0867981

Address:
107 VINE ST
HAMMONTON, NJ
ZIP 08037
Phone: (609) 561-7666
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SOUTH JERSEY CHEST DISEASES,PA is a pulmonary disease internal medicine in Hammonton, NJ. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. SOUTH JERSEY CHEST DISEASES,PA NPI is 1164503363. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

107 VINE ST
HAMMONTON, NJ
ZIP 08037-447
Phone: (609) 561-7666
Fax: (609) 567-8347

The provider's authorized official is Albert J Belli .
The authorized official title is President and has the following contact phone number (609) 561-7666.

The CLIA number assigned to this NPI record is 31D0867981 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 10/12/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RP1001XInternal MedicinePulmonary DiseaseMB39383NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14618009MEDICAIDNEW JERSEY
2687066OTHERNEW JERSEYAMERIHEALTH
3687066MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY
456729OTHERNEW JERSEYAETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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