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CMC DEPARTMENT OF MEDICINE GROUP PA NPI 1386682094


NPI Information

NPI: 1386682094
Provider Name: CMC DEPARTMENT OF MEDICINE GROUP, PA
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
3 COOPER PLAZA
SUITE 215
CAMDEN, NJ
ZIP 08103
Phone: (856) 342-2439
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CMC DEPARTMENT OF MEDICINE GROUP, PA is a specialist in Camden, NJ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CMC DEPARTMENT OF MEDICINE GROUP, PA NPI is 1386682094. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3 COOPER PLAZA
SUITE 215
CAMDEN, NJ
ZIP 08103-438
Phone: (856) 342-2439
Fax: (856) 342-7832

The provider's authorized official is Anthony J. Mazzarelli .
The authorized official title is Chief Medical Office and has the following contact phone number (856) 968-7858.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 7/27/2016.


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
1174400000XSpecialistNo
2174400000XSpecialistNEW 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
1045664 PPBMEDICARE UPINNEW JERSEY
2CA4120MEDICARE PINNEW JERSEY
32363616000OTHERNEW JERSEYAMERIHEALTH (CARDIOLOGY)
42265447000OTHERNEW JERSEYAMERIHEALTH (NEUROLOGY)
5045671 PPCMEDICARE PINNEW JERSEY
6045659 PN9MEDICARE PINNEW JERSEY
73040909MEDICAIDNEW JERSEY
8183652MEDICARE PINNEW JERSEY
9G01766MEDICARE PINDELAWARE
10DD9836MEDICARE PINDELAWARE
112206125000OTHERNEW JERSEYAMERIHLTH (HEMATOLOGY)
122144779000OTHERNEW JERSEYAMERIHLTH (CRITICAL CARE)
13045651 PN7MEDICARE PINNEW JERSEY
14049041 PW2MEDICARE PINNEW JERSEY
15045673 PPDMEDICARE PINNEW JERSEY
162277673000OTHERNEW JERSEYAMERIHLTH (RHEUMATOLOGY
172233338000OTHERNEW JERSEYAMERIHEALTH (NEPHROLOGY)
18049097 PXAMEDICARE PINNEW JERSEY
19045654 PN8MEDICARE PINNEW JERSEY

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.