Provider Type Icon

PHOENIX MEDICAL GROUP NPI 1477881472


NPI Information

NPI: 1477881472
Provider Name: PHOENIX MEDICAL GROUP

Former Legal Business Name: PHOENIX MEDICAL GROUP OF MEDFORD

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
813 E GATE DR
SUITE B
MOUNT LAUREL, NJ
ZIP 08054
Phone: (856) 231-7505
Get Directions

PHOENIX MEDICAL GROUP is a family medicine in Mount Laurel, NJ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PHOENIX MEDICAL GROUP NPI is 1477881472. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Phoenix Medical Group Of Medford.

The provider's business location address is:

813 E GATE DR
SUITE B
MOUNT LAUREL, NJ
ZIP 08054-238
Phone: (856) 231-7505
Fax: (856) 608-0501

The provider's authorized official is Jeffrey Charles Oppenheim .
The authorized official title is Owner and has the following contact phone number (856) 231-7505.

The enumeration date for this NPI number is 12/2/2009 and was last updated on 12/2/2009.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

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: 5/5/2024

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.